Research Reports - Comparative effectiveness of traumatic brain injury rehabilitation: Differential outcomes across TBI Model Systems centers

J Head Trauma Rehabil. 2013 Sep 18

Dahdah MN, Barisa MT, Schmidt K, Barnes SA, Dubiel R, Dunklin C, Harper C, Callender L, Wilson A, Diaz-Arrastia R, Shafi S.

OBJECTIVE:: To measure patient functional outcomes across rehabilitation centers.
SETTING:: Traumatic Brain Injury Model System (TBIMS) centers.
PARTICIPANTS:: Patients with traumatic brain injury (TBI) admitted to 21 TBIMS
rehabilitation centers (N = 6975, during 1999-2008).
DESIGN:: Retrospective analysis of prospectively collected data.
MAIN MEASURES:: Center-specific functional outcomes of TBI patients using
Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome
RESULTS:: There were large differences in patient characteristics across centers
(demographics, TBI severity, and functional deficits at admission to
rehabilitation). However, even after taking those factors into account, there
were significant differences in functional outcomes of patients treated at
different TBIMS centers.
CONCLUSION:: There are significant differences in functional outcomes of TBI
patients across rehabilitation centers.

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