Abstract
Objective
To determine if there were racial differences in discharge location among older adults
treated for traumatic brain injury (TBI) at a level 1 trauma center.
Design
Retrospective cohort study.
Setting
R Adams Cowley Shock Trauma Center.
Participants
Black and white adults aged ≥65 years treated for TBI between 1998 and 2012 and discharged
to home without services or inpatient rehabilitation (N=2902).
Main Outcome Measures
We assessed the association between race and discharge location via logistic regression.
Covariates included age, sex, Abbreviated Injury Scale-Head score, insurance type,
Glasgow Coma Scale score, and comorbidities.
Results
There were 2487 (86%) whites and 415 blacks (14%) in the sample. A total of 1513 (52%)
were discharged to inpatient rehabilitation and 1389 (48%) were discharged home without
services. In adjusted logistic regression, blacks were more likely to be discharged
to inpatient rehabilitation than to home without services compared to whites (odds
ratio 1.34, 95% confidence interval, 1.06-1.70).
Conclusions
In this group of Medicare-eligible older adults, blacks were more likely to be discharged
to inpatient rehabilitation compared to whites.
Keywords
List of abbreviations:
95% CI (95% confidence interval), AIS (Abbreviated Injury Scale), AIS-H (Abbreviated Injury Scale-Head), GCS (Glasgow Coma Scale), ICU (intensive care unit), ISS (injury severity score), OR (odds ratio), STC (Shock Trauma Center), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: April 04, 2019
Footnotes
Supported by the National Institutes of Health grant no. T32AG000262. A.V. is supported by the National Institutes of Health (grant no. T32AG000262) (Magaziner, PI). J.S.A. was supported by the Agency for Healthcare Research and Quality (grant no. K01HS024560).
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
