Traumatic brain injury and functional outcomes: Does minority status matter?

Short Title:
Traumatic brain injury and functional outcomes: Does minority status matter?
Model System:
TBI
Reference Type:
Journal Article
Accession No.:
Journal:
Brain Inj
Year, Volume, Issue, Page(s):
2007, vol. 21, issue 7, pp 701-708
Publication Website:
Abstract:
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 African-Americans 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.
Author(s):
Arango-Lasprilla, J.; Rosenthal, M.; DeLuca, J.; Komaroff, E.; Sherer, M.; Cifu, D.X.; Hanks, R.
Author Address(es):
Kessler Medical Rehabilitation Research and Education Corporation, West Orange, NJ, USA

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