Tolu O. Oyesanya, associate professor, published "Inpatient rehabilitation facility discharge destination among younger adults with traumatic brain injury: Differences by race and ethnicity" in Brain Injury with Gabrielle Harris, PhD'20, Associate Professors Qing Yang and Michael P. Cary and Janet Prvu Bettger, former DUSON associate professor who's now with the School of Medicine.

Abstract

Objective

To determine the association of race and ethnicity with discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care.

Design

Secondary analysis using Uniform Data System for Medical Rehabilitation data.

Methods

Patients (N = 99,614) diagnosed with TBI, age 18–64, admitted for IRF care between 2002 and 2018. Logistic regression was used to analyze data.

Outcome

Discharge destination (home/community vs. subacute settings).

Results

Most younger adults (age 18–64) with TBI were discharged home (89.24%) after IRF care vs. subacute (10.76%). Of those discharged home, 63.16% were white, 10.42% Black, 8.94% Hispanic/Latino, and 6.72% other races/ethnicities. After adjusting for covariates, patients who were Hispanic/Latino [OR = 1.26; 95% CI: 1.15, 1.37] and other race/ethnicities [OR = 1.10; 95% CI: 1.00, 1.21] (vs. White) had higher odds of discharge home vs. subacute. There was no difference in discharge destination for Black patients (vs. white). Predictors of discharge destination for groups stratified by race/ethnicity varied.

Conclusions

Younger patients with TBI who were Hispanic/Latino or other races/ethnicities (vs. white) were more likely to go home vs. subacute. Findings can be used to inform IRF planning, resource allocation, and transitional care planning.

Citation 

Tolu O. Oyesanya, Gabrielle Harris, Qing Yang, Lindsey Byom, Michael P Cary Jr, Amy T. Zhao & Janet Prvu Bettger (2021) Inpatient rehabilitation facility discharge destination among younger adults with traumatic brain injury: differences by race and ethnicity, Brain Injury, DOI: 10.1080/02699052.2021.1895317