Traumatic brain injury and functional outcomes: Does minority status matter?
Traumatic brain injury and functional outcomes: Does minority status matter?
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DOI：
10.1080/02699050701481597
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发表时间：
2007-01-01
期刊：
影响因子：
1.9
通讯作者：
Hanks, Robin
中科院分区：
文献类型：
--
作者：
Arango-Lasprilla, Juan Carlos;Rosenthal, Mitchell;Hanks, Robin
目的：（1）确定少数民族与非少数民族在人口统计学、受伤和康复特征以及入院、出院和受伤后1年的功能结果方面的差异，（2）检查（非裔美国人、西班牙裔和白人）受伤后1年功能结果的差异。设定：纵向数据来自TBI模型系统数据库。参与者：4929名中重度TBI患者（3354名白人对1575名少数民族：1207名非洲裔美国人和368名西班牙裔）在1989 - 2004年期间住院。主要结果测量：损伤后1年的功能结局（残疾评定量表、功能独立性测量、格拉斯哥结果量表-扩展和社区整合问卷）。在出院和受伤后1年，少数民族在所有指标上的功能结果都比白人差。在入院时对社会人口统计学、损伤和功能特征进行控制后，与白人相比，西班牙裔和非洲裔美国人在DRS、ADL和CIQ上在损伤后1年仍显示出更差的功能结局。非裔美国人和西班牙裔之间没有显着差异。结论：少数民族有显着减少长期功能康复后的结果相对于白人。康复专业人员必须考虑与长期功能结果较差相关的因素，并努力改善少数TBI患者的生活质量。
Objectives: ( 1) to determine differences between minorities vs. non- minorities on demographic, injury and rehabilitation characteristics and functional outcomes at admission, discharge and 1- year post- injury and ( 2) to examine differences in functional outcome at 1- year post- injury among ( African- Americans, Hispanics and Whites).Design: Retrospective study. Setting: Longitudinal data were extracted from the TBI Model Systems database.Participants: 4929 individuals with moderate- to- severe TBI ( 3354 Whites vs. 1575 Minorities: 1207 African- Americans and 368 Hispanics) hospitalized between 1989 - 2004.Main outcome measures: Functional outcomes at 1- year post- injury ( Disability Rating Scale, Functional Independence Measure, Glasgow Outcome Scale- Extended and Community Integration Questionnaire).Results: At discharge and 1- year post- injury, minorities had poorer functional outcomes compared with Caucasians on all measures. After controlling for sociodemographic, injury and functional characteristics at admission, Hispanics and AfricanAmericans still showed worse functional outcomes at 1- year post- injury compared with Whites on the DRS, FIM and CIQ. There were no significant differences between African Americans and Hispanics.Conclusions: Minorities had significantly reduced long- term functional outcome after rehabilitation relative to Whites. It is imperative that rehabilitation professionals' consider factors related to poorer long- term functional outcome and work to improve the quality of life of minorities with TBI.