Chang PFJ, Ostir GV, Kuo YF, Granger CV, Ottenbacher KJ. Ethnic differences in discharge destination among older patients with traumatic brain injury.
Arch Phys Med Rehabil 2008;
89:231-6. [PMID:
18226645 DOI:
10.1016/j.apmr.2007.08.143]
[Citation(s) in RCA: 42] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2007] [Revised: 07/02/2007] [Accepted: 08/11/2007] [Indexed: 11/16/2022]
Abstract
UNLABELLED
Ethnic differences in discharge destination among older patients with traumatic brain injury.
OBJECTIVE
To estimate the association between ethnicity and discharge destination in older patients with traumatic brain injury (TBI).
DESIGN
A retrospective analysis.
SETTING
Nationally representative sample of older patients from the Uniform Data System for Medical Rehabilitation in 2002 and 2003.
PARTICIPANTS
Patients (N=9240) aged 65 years or older who received inpatient rehabilitation services for TBI.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
Discharge destination (home, assisted living facility, institution) and ethnicity (white, black, Hispanic).
RESULTS
Multinomial logit models showed that older Hispanics (odds ratio [OR]=2.24; 95% confidence interval [CI], 1.66-3.02) and older blacks (OR=2; 95% CI, 1.55-2.59) with TBI were significantly more likely to be discharged home than older whites with TBI, after adjusting for relevant risk factors. Older blacks were also 78% less likely (OR=.22; 95% CI, .08-.60) to be discharged to an assisted living facility than whites after adjusting for relevant risk factors.
CONCLUSIONS
Our findings indicate that older minority patients with TBI were significantly more likely to be discharged home than white patients with TBI. Studies are needed to investigate underlying factors associated with this ethnic difference.
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