Evidence map›Paper›PMID 32861669›Full record

Observational studyArchives of physical medicine and rehabilitation2021

Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation.

Tolu O Oyesanya, Tim P Moran, Tamara R Espinoza, David W Wright

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Traumatic Brain Injury Rehabilitation Outcome Prediction Using Machine Learning Methods.Archives of rehabilitation research and clinical translation · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Post-Acute Care for Traumatic Brain Injury Patients in Taiwan.International journal of general medicine · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
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

4 authors.

Tolu O OyesanyaSchool of Nursing, Duke University, Durham, NC. Electronic address: tolu.oyesanya@duke.edu.
Tim P MoranDepartment of Emergency Medicine, School of Medicine, Emory University, Atlanta, GA.
Tamara R EspinozaDepartment of Emergency Medicine, School of Medicine, Emory University, Atlanta, GA.
David W WrightDepartment of Emergency Medicine, School of Medicine, Emory University, Atlanta, GA.

Funding

Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectivesTo examine regional differences in rehabilitation outcomes among adult patients with moderate-to-severe traumatic brain injury (TBI) who received care at an inpatient rehabilitation facility (IRF).

designWe conducted a secondary analysis of a large, multi-center dataset from the Uniform Data System for Medical Rehabilitation.

settingMore than 70% of all IRFs in the United States.

participantsAdult TBI patients (N=175,358) aged 18 years or older who were admitted and discharged from an IRF in the United States between 2004 and 2014. Qualifying etiology included traumatic brain dysfunction Impairment Group codes 02.21 (traumatic, open injury) and 02.22 (traumatic, closed injury).

interventionsNot applicable.

main outcome measuresDischarge functional status (total, cognitive, motor), length of stay, and discharge to home.

resultsPatient and clinical characteristics varied significantly by geographic location, as did median functional status, length of stay, and percentage of patients discharged home. The region where IRF care was received, race and ethnicity, age, occurrence of 1 or more falls during the IRF stay, case mix group, and insurance status were associated with discharge functional status, length of stay, and discharge to home.

conclusionsOur findings provide evidence of geographic differences in outcomes and potential disparities in care of TBI patients who received IRF care. More research is needed to identify TBI patients at risk for poor discharge outcomes to inform development and testing of interventions to reduce disparities in outcomes for these patients.

Indexed as

AdultAgedAged, 80 and overAge FactorsBrain Injuries, TraumaticComorbidityDisability EvaluationFemaleHumansLength of StayMaleMiddle AgedPatient DischargeRacial GroupsRecovery of FunctionRehabilitation CentersBrain injuriesOutcome assessment, health carePatientsRehabilitation

Identifiers

PMID32861669
PMCPMC9284411

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.