Translating high quality research specific to better design and building practice

Research Library

The HMinfo Research Library contains an in-depth collection of materials on home modifications and related subjects.

The Research Library does not lend books and other items. Under special circumstances, requests to use the library may be made by emailing .

Library Search

 

Ethnic Differences in Discharge Destination Among Older Patients With Traumatic Brain Injury

Archives of Physical Medicine and Rehabilitation

Author: Chang, P. F. J., Ostir, G. V., Kuo, Y. F., Granger, C. V., Ottenbacher, K. J.
Type: Journal Article
Year: 2008

Abstract:

Chang P-F, Ostir GV, Kuo Y-F, Granger CV, Ottenbacher KJ. 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.


Further Details

Full Title: Archives of Physical Medicine and Rehabilitation
Pages: 231-236
Volume: 89
Issue: 2
ISBN/ISSN: 0003-9993
Electronic Resource Number: 10.1016/j.apmr.2007.08.143
Keywords: ElderlyEthnic groupsHead injuriesRehabilitation
Reads: 160
Back