Evidence map›Paper›PMID 31033744›Full record

ArticleThe Journal of head trauma rehabilitation

Functional Outcome Trajectories Following Inpatient Rehabilitation for TBI in the United States: A NIDILRR TBIMS and CDC Interagency Collaboration.

Kristen Dams-O'Connor, Jessica M Ketchum, Jeffrey P Cuthbert, John D Corrigan, Flora M Hammond, Juliet Haarbauer-Krupa, Robert G Kowalski, A Cate Miller

Abstract readMulticenter Study
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Comorbidity in traumatic brain injury and functional outcomes: a systematic review.European journal of physical and rehabilitation medicine · 2021
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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

8 authors.

Kristen Dams-O'ConnorDepartments of Rehabilitation Medicine (Dr Dams-O'Connor) and Neurology (Dr Dams-O'Connor), Icahn School of Medicine at Mount Sinai, New York; Research Department, Craig Hospital (Drs Ketchum and Kowalski), Traumatic Brain Injury Model Systems National Data and Statistical Center (Dr Ketchum), and Swedish Medical Center (Dr Cuthbert), Englewood, Colorado; Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus (Dr Corrigan); Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine Rehabilitation Hospital of Indiana, Indianapolis (Dr Hammond); Division of Unintentional Injury, Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Haarbauer-Krupa); and National Institute on Disability, Independent Living, and Rehabilitation Research/Administration for Community Living, Washington, DC (Dr Miller).
Jessica M Ketchum
Jeffrey P Cuthbert
John D Corrigan
Flora M Hammond
Juliet Haarbauer-Krupa
Robert G Kowalski
A Cate Miller

Funding

Promotion of Physical Activity in the Latino CommunityU48DP000036 · DP · SAN DIEGO STATE UNIVERSITY · PI ELDER, JOHN P. · 2004 to 2008
$2.5M
Center for Adolescent Health Promotion and Disease Prev*U48DP000040 · DP · JOHNS HOPKINS UNIVERSITY · PI SONENSTEIN, FREYA L · 2004 to 2008
$2.2M
Improving the Health of the Rural Upper Midwest Through*U48DP000034 · DP · UNIVERSITY OF IOWA · PI SNETSELAAR, LINDA G. · 2005 to 2008
$2.2M
Comprehensive Investigation of the Clinical Course of Traumatic Brain InjuryK01HD074651 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DAMS-O'CONNOR, KRISTEN · 2014 to 2018
$536k
ACL HHS 90DPTB0009Intramural CDC HHS CC999999NCCDPHP CDC HHS U48 DP000034NCCDPHP CDC HHS U48 DP000036NCCDPHP CDC HHS U48 DP000040NICHD NIH HHS K01 HD074651
6 · The paper itself

Abstract

objectiveTo describe trajectories of functioning up to 5 years after traumatic brain injury (TBI) that required inpatient rehabilitation in the United States using individual growth curve models conditioned on factors associated with variability in functioning and independence over time.

designSecondary analysis of population-weighted data from a multicenter longitudinal cohort study.

settingAcute inpatient rehabilitation facilities.

participantsA total of 4624 individuals 16 years and older with a primary diagnosis of TBI.

main outcome measuresRatings of global disability and supervision needs as reported by participants or proxy during follow-up telephone interviews at 1, 2, and 5 years postinjury.

resultsMany TBI survivors experience functional improvement through 1 and 2 years postinjury, followed by a decline in functioning and decreased independence by 5 years. However, there was considerable heterogeneity in outcomes across individuals. Factors such as older age, non-White race, lower preinjury productivity, public payer source, longer length of inpatient rehabilitation stay, and lower discharge functional status were found to negatively impact trajectories of change over time.

conclusionsThese findings can inform the content, timing, and target recipients of interventions designed to maximize functional independence after TBI.

Indexed as

Brain Injuries, TraumaticAdultAgedCenters for Disease Control and Prevention, U.S.FemaleHumansInpatientsLongitudinal StudiesMaleMedicarePhysical Functional PerformanceUnited States

Identifiers

PMID31033744
PMCPMC6814509

What OpenQuestion holds

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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.