Citation

Vadlamani A, Perry JA, McCunn M, Stein DM, Albrecht JS. Arch. Phys. Med. Rehabil. 2019; ePub(ePub): ePub.

Affiliation

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, United States.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.apmr.2019.03.008

PMID

30954440

Abstract

OBJECTIVE: To determine if there were racial differences in discharge location among older adults treated for TBI at a level 1 trauma center.

DESIGN: Retrospective cohort study. SETTING: R Adams Cowley Shock Trauma Center PARTICIPANTS: Black and white adults aged ≥65 years treated for TBI between 1998-2012 and discharged to home without services or inpatient rehabilitation (n=2,902). MAIN OUTCOME MEASURES: We assessed the association between race and discharge location via logistic regression. Covariates included age, gender, Abbreviated Injury Scale (AIS)-Head score, insurance type, Glasgow Coma Scale (GCS) score, and comorbidities.

RESULTS: There were 2,487 (86%) whites and 415 blacks (14%) in the sample. A total of 1,513 (52%) were discharged to inpatient rehabilitation and 1,389 (48%) were discharged home without services. In adjusted logistic regression, blacks were more likely to be discharged to inpatient rehabilitation than to home without services compared to whites (odds ratio 1.34, 95% confidence interval 1.06-1.70).

CONCLUSIONS: In this group of Medicare-eligible older adults, blacks were more likely to be discharged to inpatient rehabilitation compared to whites.

Copyright © 2019. Published by Elsevier Inc.

Language: en

Keywords

TBI; discharge disposition; older adults; race; rehabilitation