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Sex-Specific Predictors of Inpatient Rehabilitation Outcomes After Traumatic Brain Injury

CHAN V; MOLLAYEVA T; OTTENBACHER KJ; COLANTONIO A
ARCH PHYS MED REHABIL , 2016, vol. 97, n° 5, p. 772-780
Doc n°: 180251
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.01.011
Descripteurs : AF3 - TRAUMATISME CRANIEN
Article consultable sur : http://www.archives-pmr.org

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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