Arango-Lasprilla Juan Carlos, Rosenthal Mitchell, Deluca John, Cifu David X, Hanks Robin, Komaroff Eugene
Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ, USA.
Arch Phys Med Rehabil. 2007 Jan;88(1):11-8. doi: 10.1016/j.apmr.2006.10.029.
To examine the relation between Hispanic ethnicity and rehabilitation outcome in traumatic brain injury (TBI) survivors.
Retrospective study.
Longitudinal dataset of the Traumatic Brain Injury Model Systems national database.
Persons (N=3056; 2745 whites vs 311 Hispanics) with moderate to severe TBI hospitalized between 1989 and 2003.
Not applicable.
Functional outcomes at discharge and 1-year follow-up (Disability Rating Scale [DRS], FIM instrument). Glasgow Outcome Scale-Extended (GOS-E), and the Community Integration Questionnaire (CIQ) were measured at follow-up only.
At admission, Hispanics were less educated (P</=.001), earned less money (P</=.05), and were younger (P</=.001) than whites. Hispanics had lower GOS-E scores (P</=.01) at acute hospital admission compared with whites. Despite similar functional status at inpatient rehabilitation discharge, Hispanic ethnicity was associated with poorer functional outcomes at 1 year postinjury (DRS, FIM, CIQ), after controlling for age, length of posttraumatic amnesia, injury severity, DRS score at admission, FIM score at admission, and preinjury educational level (P<.05).
Hispanics showed significantly reduced long-term functional outcome after rehabilitation relative to whites. Rehabilitation professionals should recognize the possible impact of individual differences and diverse sociodemographic, injury, and rehabilitation characteristics so that differential health outcomes among TBI survivors can be reduced or eliminated.
探讨西班牙裔种族与创伤性脑损伤（TBI）幸存者康复结局之间的关系。
回顾性研究。
创伤性脑损伤模型系统国家数据库的纵向数据集。
1989年至2003年间因中度至重度TBI住院的患者（N = 3056；2745名白人 vs 311名西班牙裔）。
不适用。
出院时及1年随访时的功能结局（残疾评定量表[DRS]、FIM工具）。仅在随访时测量格拉斯哥扩展结局量表（GOS-E）和社区融入问卷（CIQ）。
入院时，西班牙裔受教育程度较低（P≤.001），收入较少（P≤.05），且比白人年轻（P≤.001）。与白人相比，西班牙裔在急性医院入院时GOS-E评分较低（P≤.01）。尽管住院康复出院时功能状态相似，但在控制年龄、创伤后遗忘持续时间、损伤严重程度、入院时DRS评分、入院时FIM评分和伤前教育水平后，西班牙裔种族与伤后1年较差的功能结局（DRS、FIM、CIQ）相关（P<.05）。
相对于白人，西班牙裔在康复后的长期功能结局显著降低。康复专业人员应认识到个体差异以及不同的社会人口统计学、损伤和康复特征可能产生的影响，以便减少或消除TBI幸存者之间不同的健康结局。
