TY - JOUR
T1 - Sex-Specific Predictors of Inpatient Rehabilitation Outcomes after Traumatic Brain Injury
AU - Chan, Vincy
AU - Mollayeva, Tatyana
AU - Ottenbacher, Kenneth J.
AU - Colantonio, Angela
N1 - Publisher Copyright:
© 2016 American Congress of Rehabilitation Medicine.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Objective To identify sex-specific predictors of inpatient rehabilitation outcomes among patients with a traumatic brain injury (TBI) from a population-based perspective. Design Retrospective cohort study. Setting Inpatient rehabilitation. Participants Patients in inpatient rehabilitation for a TBI within 1 year of acute care discharge between 2008/2009 and 2011/2012 (N=1730, 70% men, 30% women). Interventions None. Main Outcome Measures Inpatient rehabilitation length of stay, total FIM score, and motor and cognitive FIM ratings at discharge. Results Sex, as a covariate in multivariable linear regression models, was not a significant predictor of rehabilitation outcomes. Although many of the predictors examined were similar across men and women, sex-specific multivariable models identified some predictors of rehabilitation outcome that are specific for men and women; mechanism of injury (P<.0001) was a significant predictor of functional outcome only among women, whereas comorbidities (P<.0001) was a significant predictor for men only. Conclusions Predictors of outcomes after inpatient rehabilitation differed by sex, providing evidence for a sex-specific approach in planning and resource allocation for inpatient rehabilitation services for patients with TBI.
AB - Objective To identify sex-specific predictors of inpatient rehabilitation outcomes among patients with a traumatic brain injury (TBI) from a population-based perspective. Design Retrospective cohort study. Setting Inpatient rehabilitation. Participants Patients in inpatient rehabilitation for a TBI within 1 year of acute care discharge between 2008/2009 and 2011/2012 (N=1730, 70% men, 30% women). Interventions None. Main Outcome Measures Inpatient rehabilitation length of stay, total FIM score, and motor and cognitive FIM ratings at discharge. Results Sex, as a covariate in multivariable linear regression models, was not a significant predictor of rehabilitation outcomes. Although many of the predictors examined were similar across men and women, sex-specific multivariable models identified some predictors of rehabilitation outcome that are specific for men and women; mechanism of injury (P<.0001) was a significant predictor of functional outcome only among women, whereas comorbidities (P<.0001) was a significant predictor for men only. Conclusions Predictors of outcomes after inpatient rehabilitation differed by sex, providing evidence for a sex-specific approach in planning and resource allocation for inpatient rehabilitation services for patients with TBI.
KW - Brain injuries
KW - International Classification of Diseases
KW - Rehabilitation
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U2 - 10.1016/j.apmr.2016.01.011
DO - 10.1016/j.apmr.2016.01.011
M3 - Article
C2 - 26836952
AN - SCOPUS:84959876858
SN - 0003-9993
VL - 97
SP - 772
EP - 780
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 5
ER -