Comparative Effectiveness of Traumatic Brain Injury Rehabilitation: Differential Outcomes Across TBI Model Systems Centers

Short Title:
Comparative Effectiveness of Traumatic Brain Injury Rehabilitation: Differential Outcomes Across TBI Model Systems Centers
Model System:
TBI
Reference Type:
Journal Article
Accession No.:
J69864
Journal:
JOURNAL OF HEAD TRAUMA REHABILITATION
Year, Volume, Issue, Page(s):
2014, vol. 1, issue , pp PubMed PMID 24052093
Publication Website:
Abstract:
Study compared the functional outcomes of 6,975 patients with traumatic brain injury (TBI) admitted to 21 Traumatic Brain Injury Model System (TBIMS) rehabilitation centers from 1999 to 2008. Patient outcomes were measured using the Functional Independence Measure and the Disability Rating Scale at discharge and at 1 year follow-up. In addition, the Glasgow Outcome Scale-Extended was also assessed at 1 year. Analysis of the data indicated that there were large differences in patient characteristics across these centers (demographics, TBI severity, and functional deficits at admission to rehabilitation). However, even after taking those factors into account, there were significant differences in functional outcomes of patients treated at different TBIMS centers. The authors conclude that these findings may be related to differences in institutional structures, resources, and clinical practices between centers.
Author(s):
Dahdah MN, Barisa MT, Schmidt K, Barnes SA, Dubiel R, Dunklin C, Harper C, Callender L, Wilson A, Diaz-Arrastia R, Shafi S
Author Address(es):
Participating Centers:

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