Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury. 2022

Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
From the Duke University School of Nursing, Durham, North Carolina (TOO, MPC, GHW, QY, JPB); Department of Allied Health Sciences, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (LB); and Duke University School of Medicine, Durham, North Carolina (JPB).

The aim of the study was to determine the association of sex and race/ethnicity with acute hospital readmissions ("within-stay readmissions") during inpatient rehabilitation facility care versus patients discharged home without a within-stay readmission among traumatic brain injury patients. The study used a secondary analysis ( N = 210,440) of Uniform Data System for Medical Rehabilitation data using multiple logistic regression. Within-stay readmissions occurred for 11.79% of female and 11.77% of male traumatic brain injury patients. Sex-specific models identified insurance, comorbidities, and complications factored differently in likelihood of within-stay readmissions among female than male patients but association of all other factors were similar per group. Within-stay readmissions differences were more pronounced by race/ethnicity: White, 11.63%; Black, 11.32%; Hispanic/Latino, 9.78%; and other, 10.61%. Descriptive bivariate analysis identified racial/ethnic patients with within-stay readmissions had greater days from traumatic brain injury to inpatient rehabilitation facility admission (White, 17.66; Black, 21.70; Hispanic/Latino, 23.81; other, 20.66) and lower admission cognitive and motor function. Factors differed across models predicting within-stay readmissions for race/ethnic groups; age, admission motor and cognitive function, complications, and length of stay were consistent across groups. This study demonstrates disparities by race/ethnicity for inpatient rehabilitation facility within-stay readmissions among traumatic brain injury patients and factors predictive of this potentially preventable outcome by sex and race/ethnicity. Findings could inform care planning and quality improvement efforts for TBI patients.

UI MeSH Term Description Entries
D007297 Inpatients Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment. Inpatient
D008297 Male Males
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D010359 Patient Readmission Subsequent admissions of a patient to a hospital or other health care institution for treatment. Hospital Readmission,Rehospitalization,Unplanned Hospital Readmissions,Unplanned Readmission,30 Day Readmission,Hospital Readmissions,Readmission, Hospital,Readmissions, Hospital,Thirty Day Readmission,30 Day Readmissions,Hospital Readmission, Unplanned,Hospital Readmissions, Unplanned,Readmission, Patient,Readmission, Thirty Day,Readmission, Unplanned,Rehospitalizations,Thirty Day Readmissions,Unplanned Hospital Readmission,Unplanned Readmissions
D005006 Ethnicity A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships. Ethnic Groups,Nationality,Ethnic Group,Nationalities
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000070642 Brain Injuries, Traumatic A form of acquired brain injury which occurs when a sudden trauma causes damage to the brain. Trauma, Brain,Traumatic Brain Injury,Encephalopathy, Traumatic,Injury, Brain, Traumatic,TBI (Traumatic Brain Injury),TBIs (Traumatic Brain Injuries),Traumatic Encephalopathy,Brain Injury, Traumatic,Brain Trauma,Brain Traumas,Encephalopathies, Traumatic,TBI (Traumatic Brain Injuries),Traumas, Brain,Traumatic Brain Injuries,Traumatic Encephalopathies

Related Publications

Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
May 2006, American journal of physical medicine & rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
February 2008, Archives of physical medicine and rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
November 2017, PM & R : the journal of injury, function, and rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
March 2015, Journal of neurosurgery,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
April 2022, PM & R : the journal of injury, function, and rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
March 2023, Journal of neurotrauma,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
January 2010, Archives of physical medicine and rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
December 2022, PM & R : the journal of injury, function, and rehabilitation,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
May 2012, American journal of public health,
Tolu O Oyesanya, and Michael P Cary, and Gabrielle Harris Walker, and Qing Yang, and Lindsey Byom, and Janet Prvu Bettger
September 2002, American journal of physical medicine & rehabilitation,
Copied contents to your clipboard!