Age- and sex-specific predictors of inpatient rehabilitation facility discharge destination for adult patients with traumatic brain injury

被引：11
|
作者：
Oyesanya, Tolu O. [1 ]
Harris, Gabrielle [1 ]
Cary, Michael P. Jr Jr [1 ]
Byom, Lindsey [2 ]
Yang, Qing [1 ]
Bettger, Janet Prvu [1 ,3 ]
机构：
[1] Duke Univ, Sch Nursing, DUMC 3322,307 Trent Dr, Durham, NC 27710 USA
[2] Univ N Carolina, Dept Allied Hlth Sci, Chapel Hill, NC 27515 USA
[3] Duke Univ, Sch Med, Durham, NC 27710 USA
来源：
BRAIN INJURY | 2021年 / 35卷 / 12-13期
关键词：
MeSH; brain injuries; traumatic; rehabilitation; outcome assessment; health care; OLDER-ADULTS; INSURANCE; OUTCOMES; MODERATE; GENDER; DISPARITIES; HEALTH; WOMEN; CARE; RACE;
D O I：
10.1080/02699052.2021.1972453
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Objective : To determine age- and sex-specific predictors of discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. Design : Secondary analysis of Uniform Data System for Medical Rehabilitation data. Methods : Logistic regression of patients (N = 221,961) age >= 18, TBI diagnosis, admitted to IRF between 2002 and 2018. Outcome : Discharge destination (subacute vs. home/community settings) Results : Approximately 16% were discharged to subacute vs. 84% home. Younger versus older adults had lower odds of subacute discharge [OR = 0.72; 95% CI: 0.69, 0.76]. Younger females had lower odds of subacute discharge (vs. home) than older females [OR = 0.68; 95% CI: 0.63, 0.74]; younger males had lower odds of subacute discharge (vs. home) than older males [OR = 0.74; 95% CI: 0.70, 0.78]. Younger females versus younger males had lower odds of subacute discharge (vs. home) [OR = 0.83; 95% CI: 0.79, 0.87]. Older females versus older males had lower odds of subacute discharge (vs. home) [OR = 0.93; 95% CI: 0.90, 0.97]. Predictors of discharge destination for age- and sex-stratified groups varied. Conclusions : Younger (vs. older) and female (vs. male) patients had lower odds of subacute discharge vs. home.
引用
收藏
页码：1529 / 1541
页数：13
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