创伤性脑损伤康复的比较效果：跨创伤性脑损伤模型系统中心的不同结果

Comparative effectiveness of traumatic brain injury rehabilitation: differential outcomes across TBI model systems centers.

作者信息

Dahdah Marie N, Barisa Mark T, Schmidt Kathryn, Barnes Sunni A, Dubiel Rosemary, Dunklin Cynthia, Harper Caryn, Callender Librada, Wilson Amy, Diaz-Arrastia Ramon, Shafi Shahid

机构信息

Baylor Institute for Rehabilitation, Baylor Health Care System, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, and Wilson); Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, TX (Ms Schmidt and Drs Barnes and Shafi); North Texas Traumatic Brain Injury Model Systems Center, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, Wilson, Diaz-Arrastia, and Shafi and Mss Dunklin, Harper, and Callender); Department of Neurology, University of Texas Southwestern Medical Center, Dallas, (Dr Diaz-Arrastia); and Center for Neuroscience and Regenerative Medicine, Uniformed Services University of the Health Sciences, Rockville, Maryland (Dr Diaz-Arrastia).

出版信息

J Head Trauma Rehabil. 2014 Sep-Oct;29(5):451-9. doi: 10.1097/HTR.0b013e3182a61983.

DOI:10.1097/HTR.0b013e3182a61983

PMID:24052093

Abstract

OBJECTIVE

To measure patient functional outcomes across rehabilitation centers.

SETTING

Traumatic Brain Injury Model System (TBIMS) centers.

PARTICIPANTS

Patients with traumatic brain injury (TBI) admitted to 21 TBIMS rehabilitation centers (N = 6975, during 1999-2008).

DESIGN

Retrospective analysis of prospectively collected data.

MAIN MEASURES

Center-specific functional outcomes of TBI patients using Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome Scale-Extended.

RESULTS

There were large differences in patient characteristics across centers (demographics, TBI severity, and functional deficits at admission to rehabilitation). However, even after taking those factors into account, there were significant differences in functional outcomes of patients treated at different TBIMS centers.