Abstract
Meade MA, Cifu DX, Seel RT, McKinley WO, Kreutzer JS. Medical procedures, complications,
and outcomes for patients with spinal cord injury: a multicenter investigation comparing
African Americans and whites. Arch Phys Med Rehabil 2004;85:368–75.
Objective
To examine the role of race on rehabilitation outcomes for a matched sample of patients
with spinal cord injury (SCI).
Design
African Americans and whites with SCI were matched based on age group, level and completeness
of injury, and sponsor of care to retrospectively analyze the impact of race.
Setting
Eighteen medical centers in the federally sponsored Model Spinal Cord Injury Systems
project.
Participants
A total of 628 adults with SCI.
Interventions
Not applicable.
Main outcome measures
Medical procedures and complications; American Spinal Injury Association motor index,
and FIMT instrument scores at admission and discharge; and discharge dispositions.
Results
Analysis revealed race-related differences in spinal surgeries, laparotomies, traction
during acute care, and method of bladder management at discharge. In most cases, these
were explained by cause of injury rather than direct affects of race. No differences
were found with regard to medical complications functional outcomes, or discharge
disposition.
Conclusions
Although differences exist in the medical procedures given to African Americans and
whites with SCI, they are generally accounted for by cause of injury rather than the
direct affects of race.
Keywords
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Article info
Footnotes
☆Supported in part by the National Institute on Disability and Rehabilitation Research, US Department of Education (grant no. H113N000015).
Identification
Copyright
© 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
