Inpatient rehabilitation facility discharge destination among younger adults with traumatic brain injury: differences by race and ethnicity. (12th May 2021)

• Record Type: Journal Article
• Authors: Oyesanya, Tolu O.; Harris, Gabrielle; Yang, Qing; Byom, Lindsey; Cary Jr, Michael P; Zhao, Amy T.; Bettger, Janet Prvu
• Is Part Of: Brain injury. Volume 35:Number 6(2021)
• Page Start: 661
• Page End: 674
• Publication Date: 2021-05-12
• Subjects: [MeSH]: Brain Injuries -- traumatic -- rehabilitation -- race Factors -- patient Discharge -- health Care Facilities -- manpower -- Services -- outcome Assessment -- Health Care; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2021.1895317
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Objective: : To determine the association of race and ethnicity with discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. Design: Secondary analysis using Uniform Data System for Medical Rehabilitation data. Methods: : Patients ( N = 99, 614) diagnosed with TBI, age 18–64, admitted for IRF care between 2002 and 2018. Logistic regression was used to analyze data. Outcome: : Discharge destination (home/community vs. subacute settings). Results: : Most younger adults (age 18–64) with TBI were discharged home (89.24%) after IRF care vs. subacute (10.76%). Of those discharged home, 63.16% were white, 10.42% Black, 8.94% Hispanic/Latino, and 6.72% other races/ethnicities. After adjusting for covariates, patients who were Hispanic/Latino [OR = 1.26; 95% CI: 1.15, 1.37] and other race/ethnicities [OR = 1.10; 95% CI: 1.00, 1.21] (vs. White) had higher odds of discharge home vs. subacute. There was no difference in discharge destination for Black patients (vs. white). Predictors of discharge destination for groups stratified by race/ethnicity varied. Conclusions: : Younger patients with TBI who were Hispanic/Latino or other races/ethnicities (vs. white) were more likely to go home vs. subacute. Findings can be used to inform IRF planning, resource allocation, and transitional care planning.