Departments of Anesthesiology and Pain Medicine, University of Washington, Harborview Injury Prevention and Research Center, 401 Broadway, 4th Floor, Seattle, WA 98122.
University of Washington, Harborview Injury Prevention and Research Center, 401 Broadway, 4th Floor, Seattle, WA 98122.
J Sch Health. 2019 Jul;89(7):519-526. doi: 10.1111/josh.12776. Epub 2019 Apr 23.
School reintegration after traumatic brain injuries (TBI) requires school support; however, implementation of services is complex. This study evaluates disparities in receipt of school services for Hispanic children and its effect on academic performance.
Secondary analyses of school data on receipt of pre- and post-TBI school services. A logistic regression compared receipt of services between Hispanic and non-Hispanic white (NHW) children, and a linear regression evaluated services' effect on academic performance.
The study includes 419 children; 46 Hispanic, 373 NHW. For NHW children there were no differences in receipt of pre- and post-TBI services; Hispanic children had significant increase in receipt of services from 5% to 27% (p < .001). Compared to NHWs, Hispanics had lower grade point average (GPA) at baseline (2.3 [confidence interval, CI: 1.9-2.7] vs 2.9 [CI: 2.8-3.0]). No differences in GPA were found between groups after injury among students who received post-TBI services.
Students who receive post-TBI school services benefit academically. NHW students maintain their academic performance and Hispanics increase their performance to their NHW peers' level. This highlights the importance of providing post-TBI school services to ensure better outcomes for all children.
创伤性脑损伤 (TBI) 后重返学校需要学校的支持；然而，服务的实施很复杂。本研究评估了西班牙裔儿童获得学校服务的差异及其对学业成绩的影响。
对学校数据中接受 TBI 前后学校服务的二次分析。逻辑回归比较了西班牙裔和非西班牙裔白人 (NHW) 儿童获得服务的情况，线性回归评估了服务对学业成绩的影响。
该研究纳入了 419 名儿童；46 名西班牙裔，373 名 NHW。对于 NHW 儿童，接受 TBI 前后服务没有差异；西班牙裔儿童接受服务的比例从 5%显著增加到 27%（p<0.001）。与 NHW 相比，西班牙裔儿童的基线平均绩点 (GPA) 较低（2.3 [置信区间，CI：1.9-2.7] vs 2.9 [CI：2.8-3.0]）。接受 TBI 后服务的学生中，在受伤后两组之间的 GPA 没有差异。
接受 TBI 后学校服务的学生在学业上受益。NHW 学生保持他们的学业成绩，而西班牙裔学生则将他们的成绩提高到 NHW 同龄人的水平。这强调了为所有儿童提供 TBI 后学校服务以确保更好结果的重要性。
