Evidence map›Paper›PMID 34934940›Full record

ArticleArchives of rehabilitation research and clinical translation2022

Differential Impact of the COVID-19 Pandemic on Health Care Utilization Disruption for Community-Dwelling Individuals With and Without Acquired Brain Injury.

Grace J Kim, Hayejin Kim, Jason Fletcher, Gerald T Voelbel, Yael Goverover, Peii Chen, Michael W O'Dell, Helen M Genova

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Grace J KimDepartment of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York.
Hayejin KimDepartment of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York.
Jason FletcherRory Meyers College of Nursing, New York University, New York, New York.
Gerald T VoelbelDepartment of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York.
Yael GoveroverDepartment of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York.
Peii ChenKessler Foundation, West Orange and East Hanover, New Jersey.
Michael W O'DellDepartment of Rehabilitation Medicine, Weill Cornell Medicine, New York, New York.
Helen M GenovaKessler Foundation, West Orange and East Hanover, New Jersey.
New York University · USNYU Langone Health · USRutgers, The State University of New Jersey · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo delineate health care disruption for individuals with acquired brain injury (ABI) during the peak of the pandemic and to understand the impact of health care disruption on health-related quality of life (HRQoL).

designCross-sectional survey.

settingGeneral community.

participantsVolunteer sample of adults with traumatic brain injury (TBI; n=33), adults with stroke (n=66), and adults without TBI or stroke (n=108) with access to the internet and personal technology (N=207).

interventionsNot applicable.

main outcome measuresNot applicable.

resultsParticipants with TBI and stroke reported high rates of disruption in care specific to their diagnosis (53%-54.5%), while participants across all groups reported disruption for major medical care (range, 68.2%-80%), general health care (range, 60.3%-72.4%), and mental health care (range, 31.8%-83.3%). During the pandemic, participants with TBI and stroke used telehealth for care specific to their diagnosis (40.9%-42.4%), whereas all participants used telehealth for major medical care (range, 50%-86.7%), general health care (range, 31.2%-53.3%), and mental health care (range, 53.8%-72.7%)

conclusionsIndividuals with and without ABI experienced pronounced disruption in health care utilization overall. However, individuals who experienced a disruption in care specific to TBI or mental health care were most vulnerable to decreased HRQoL. Telehealth was a viable alternative to in-person visits for individuals with and without ABI, but limitations included difficulty with technology, difficulty with comprehensive examination, and decreased rapport with providers.

Indexed as

ABI, acquired brain injuryANOVA, analysis of varianceBrain injuries, traumaticCOVID-19Healthcare disparitiesHRQoL, health-related quality of lifePatient acceptance of health careQuality of lifeRehabilitationStrokeTBI, traumatic brain injuryTelemedicine

Identifiers

PMID34934940
PMCPMC8677629
OpenAlexW4200200869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.