Influence of sex and age on inpatient rehabilitation outcomes among older adults with traumatic brain injury
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2010, vol. 91, issue 1, pp 43-50
Objective: To assess the influence of sex and age on inpatient rehabilitation outcomes in a large national sample of older adults with traumatic brain injury (TBI). Design: Prospective case series. Setting: Eight hundred forty-eight inpatient rehabilitation facilities that subscribe to the Uniform Data System for Medical Rehabilitation. Participants: Patients (n 18,413) age 65 years and older admitted for inpatient rehabilitation after TBI from 2005 through 2007. Interventions: None.Main Outcome Measures: Rehabilitation length of stay, discharge FIM motor and cognitive ratings, discharge setting,and scheduled home health services at discharge. Results: Mean age SD of the sample was 79 7 years, and 47% were women. In multivariable models, higher age was associated with shorter lengths of stay (P .001), lower discharge FIM motor and cognitive ratings (P .001), and greater odds of home health services at discharge (P .001). Women demonstrated shorter lengths of stay (P .006) and greater odds of being scheduled for home health services at discharge (P .001) than men. The sex-by-age interaction term was not significant in any outcome model. Sex differences and trends were consistent across the entire age range of the sample. Conclusions: Sex and age patterns in rehabilitation outcomes among older adults with TBI varied by outcome. The current findings related to rehabilitation length of stay may be helpful for facility-level resource planning. Additional studies are warranted to identify the factors associated with returning to home and to assess the long-term benefits of combined inpatient rehabilitation and home health services for older adults with TBI.
Graham, J.E., Radice-Neumann, D.M., Reistetter, T.A., Hammond, F.M., Dijkers, M., & Granger, C.V.
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