Evidence map›Paper›PMID 25747552›Full record

ArticleArchives of physical medicine and rehabilitation2015

Functional independence after inpatient rehabilitation for traumatic brain injury among minority children and adolescents.

Nathalia Jimenez, Marisa Osorio, Jessica L Ramos, Susan Apkon, Beth E Ebel, Frederick P Rivara

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  10. Disparities in Use of Subspecialty Concussion Care Based on Ethnicity.Journal of racial and ethnic health disparities · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Nathalia JimenezDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA; Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA. Electronic address: nathalia.jimenez@seattlechildrens.org.
Marisa OsorioDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA.
Jessica L RamosThe Center for Diversity and Health Equity, Seattle Children's Hospital, Seattle, WA.
Susan ApkonDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA.
Beth E EbelHarborview Injury Prevention and Research Center, University of Washington, Seattle, WA; The Center for Diversity and Health Equity, Seattle Children's Hospital, Seattle, WA; Department of Pediatrics, University of Washington, Seattle, WA; Department of Epidemiology, University of Washington, Seattle, WA.
Frederick P RivaraHarborview Injury Prevention and Research Center, University of Washington, Seattle, WA; Department of Pediatrics, University of Washington, Seattle, WA; Department of Epidemiology, University of Washington, Seattle, WA.
Harborview Injury Prevention and Research Center · USSeattle Children's Hospital · USUniversity of Washington · US

Funding

Disability from Pediatric Trauma Brain InjuryR49CE001021 · CE · UNIVERSITY OF WASHINGTON · PI RIVARA, FREDERICK P. · 2006 to 2010
$3.2M
Disparities in Disability after Traumatic Brain Injury for Hispanic ChildrenK23HD078453 · NICHD · UNIVERSITY OF WASHINGTON · PI JIMENEZ, NATHALIA · 2014 to 2018
$713k
NCIPC CDC HHS R49 CE 001021NCIPC CDC HHS R49 CE001021NICHD NIH HHS K23 HD078453
6 · The paper itself

Abstract

objectiveTo compare motor and cognitive functional independence scores between Hispanic, non-Hispanic black (NHB), and non-Hispanic white (NHW) children with traumatic brain injury (TBI) after discharge from inpatient rehabilitation.

designRetrospective cohort study using the Uniform Data System for Medical Rehabilitation national dataset from the years 2002 to 2012.

settingInpatient rehabilitation units.

participantsChildren (N=10,141) aged 6 months to 18 years who received inpatient rehabilitation for TBI.

interventionsNot applicable.

main outcome measuresMotor and cognitive functional independence after discharge from inpatient rehabilitation, adjusting for age, sex, admission function, length of stay, insurance, and region.

resultsInpatient rehabilitation therapy improved functional independence for all children. Younger age, lower admission functional independence scores, and Medicaid insurance were associated with lower functional independence at discharge. Hispanic and NHB children had lower discharge cognitive scores compared with NHW children; however, differences were small and were partially explained by insurance status and region. Children who received rehabilitation therapy at pediatric facilities had greater cognitive improvement.

conclusionsWhile racial/ethnic disparities are small, minority children are more likely to be younger, to have Medicaid, and to be cared for at nonpediatric facilities, factors that increase their risk for lower functional outcomes.

Indexed as

Recovery of FunctionAdolescentAge FactorsBlack or African AmericanBrain InjuriesChildChild, PreschoolCognitionEthnicityFemaleHealth StatusHispanic or LatinoHumansInfantInpatientsMaleBrain injuriesMinority groupsOutcomeRehabilitation

Identifiers

PMID25747552
PMCPMC4484304
OpenAlexW2078824697

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.