< Back to previous page
Publication
Racial disparities in stroke functional outcomes upon discharge from inpatient rehabilitation facilities
Journal Contribution - Journal Article
Purpose.Analyse racial disparities in clinical outcomes after stroke in inpatient rehabilitation facilities (IRF).
Methods.Analyses based on data from a multi-center prospective observational cohort study on inpatient stroke rehabilitation in six IRFs from across the United States. Multivariate models examined racial disparities in functional outcomes upon discharge, taking into account patient characteristics and detailed information on processes of care.
Results.In the moderate stroke group (N=397), functional scores on admission were not significantly different between African-Americans and whites. In the severe stroke group (N=335), whites showed significantly lower functional scores at admission [Functional Independence Measurement, (FIM)], mean scores, 44 versus 49 for African-Americans, p
Conclusion.Controlling for patient characteristics, therapy intensity and processes of care results in non-significant differences between African-Americans and whites in motor FIM scores upon discharge. The absence of significant differences in recovery while patients were on the rehabilitation unit suggests that racial disparities in long-term functional recovery after stroke are likely to have originated before or after the inpatient rehabilitation stay.
Methods.Analyses based on data from a multi-center prospective observational cohort study on inpatient stroke rehabilitation in six IRFs from across the United States. Multivariate models examined racial disparities in functional outcomes upon discharge, taking into account patient characteristics and detailed information on processes of care.
Results.In the moderate stroke group (N=397), functional scores on admission were not significantly different between African-Americans and whites. In the severe stroke group (N=335), whites showed significantly lower functional scores at admission [Functional Independence Measurement, (FIM)], mean scores, 44 versus 49 for African-Americans, p
Conclusion.Controlling for patient characteristics, therapy intensity and processes of care results in non-significant differences between African-Americans and whites in motor FIM scores upon discharge. The absence of significant differences in recovery while patients were on the rehabilitation unit suggests that racial disparities in long-term functional recovery after stroke are likely to have originated before or after the inpatient rehabilitation stay.
Journal: Disability & Rehabilitation
ISSN: 0963-8288
Issue: 19
Volume: 32
Pages: 1604-1611
Publication year:2010
Keywords:racial disparities, stroke