Sander Angelle M, Lequerica Anthony H, Ketchum Jessica M, Hammond Flora M, Gary Kelli Williams, Pappadis Monique R, Felix Elizabeth R, Johnson-Greene Douglas, Bushnik Tamara
Departments of Physical Medicine and Rehabilitation and Psychiatry, Baylor College of Medicine/Harris Health System and Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Dr Sander); Kessler Foundation and Rutgers, New Jersey Medical School, West Orange (Dr Lequerica); Craig Hospital, Englewood, Colorado (Dr Ketchum); Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis (Dr Hammond); Departments of Physical Medicine and Rehabilitation/Neuropsychology and Occupational Therapy, Virginia Commonwealth University, Richmond (Dr Gary); Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, and Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas (Dr Pappadis); University of Miami Miller School of Medicine, Miami, Florida (Drs Felix and Johnson-Greene); and Rusk Rehabilitation, New York University Langone School of Medicine, New York (Dr Bushnik).
J Head Trauma Rehabil. 2018 Jul/Aug;33(4):219-227. doi: 10.1097/HTR.0000000000000395.
To investigate the contribution of race/ethnicity to retention in traumatic brain injury (TBI) research at 1 to 2 years postinjury.
Community.
With dates of injury between October 1, 2002, and March 31, 2013, 5548 whites, 1347 blacks, and 790 Hispanics enrolled in the Traumatic Brain Injury Model Systems National Database.
Retrospective database analysis.
Retention, defined as completion of at least 1 question on the follow-up interview by the person with TBI or a proxy.
Retention rates 1 to 2 years post-TBI were significantly lower for Hispanic (85.2%) than for white (91.8%) or black participants (90.5%) and depended significantly on history of problem drug or alcohol use. Other variables associated with low retention included older age, lower education, violent cause of injury, and discharge to an institution versus private residence.
The findings emphasize the importance of investigating retention rates separately for blacks and Hispanics rather than combining them or grouping either with other races or ethnicities. The results also suggest the need for implementing procedures to increase retention of Hispanics in longitudinal TBI research.
调查种族/族裔对创伤性脑损伤（TBI）患者伤后1至2年研究随访率的影响。
社区。
2002年10月1日至2013年3月31日期间受伤的5548名白人、1347名黑人及790名西班牙裔人纳入创伤性脑损伤模型系统国家数据库。
回顾性数据库分析。
随访率，定义为TBI患者或其代理人在随访访谈中至少完成1个问题。
TBI后1至2年，西班牙裔患者（85.2%）的随访率显著低于白人（91.8%）或黑人患者（90.5%），且显著取决于药物或酒精使用问题史。与低随访率相关的其他变量包括年龄较大、教育程度较低、暴力致伤原因以及出院后入住机构而非私人住所。
研究结果强调了分别调查黑人和西班牙裔患者随访率的重要性，而不是将他们合并或与其他种族或族裔归为一组。结果还表明，需要采取措施提高西班牙裔患者在TBI纵向研究中的随访率。
