Article

OBJECTIVE: To assess the influence of sex and age on inpatient rehabilitation outcomes in a large national sample of older adults with
traumatic brain injury (TBI). DESIGN: Prospective case series. SETTING: Eight
hundred forty-eight inpatient rehabilitation facilities that subscribe to the
Uniform Data System for Medical Rehabilitation. PARTICIPANTS: Patients (n=18,413)
age 65 years and older admitted for inpatient rehabilitation after TBI from 2005
through 2007. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Rehabilitation length
of stay, discharge FIM motor and cognitive ratings, discharge setting, and
scheduled home health services at discharge. RESULTS: Mean age +/- SD of the
sample was 79+/-7 years, and 47% were women. In multivariable models, higher age
was associated with shorter lengths of stay (P<.001), lower discharge FIM motor
and cognitive ratings (P<.001), and greater odds of home health services at
discharge (P<.001). Women demonstrated shorter lengths of stay (P=.006) and
greater odds of being scheduled for home health services at discharge (P<.001)
than men. The sex-by-age interaction term was not significant in any outcome
model. Sex differences and trends were consistent across the entire age range of
the sample. CONCLUSIONS: Sex and age patterns in rehabilitation outcomes among
older adults with TBI varied by outcome. The current findings related to
rehabilitation length of stay may be helpful for facility-level resource
planning. Additional studies are warranted to identify the factors associated
with returning to home and to assess the long-term benefits of combined inpatient
rehabilitation and home health services for older adults with TBI.
CI - Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS