Comparative effectiveness of traumatic brain injury rehabilitation: differential outcomes across TBI model systems centers.
OBJECTIVE
To measure patient functional outcomes across rehabilitation centers.


METHODS
Traumatic Brain Injury Model System (TBIMS) centers.


METHODS
Patients with traumatic brain injury (TBI) admitted to 21 TBIMS rehabilitation centers (N = 6975, during 1999-2008).


METHODS
Retrospective analysis of prospectively collected data.


METHODS
Center-specific functional outcomes of TBI patients using Functional Independence Measure, Disability Rating Scale, and Glasgow Outcome Scale-Extended.


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.


CONCLUSIONS
There are significant differences in functional outcomes of TBI patients across rehabilitation centers.
Baylor Institute for Rehabilitation, Baylor Health Care System, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, and Wilson); Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, TX (Ms Schmidt and Drs Barnes and Shafi); North Texas Traumatic Brain Injury Model Systems Center, Dallas, Texas (Drs Dahdah, Barisa, Dubiel, Wilson, Diaz-Arrastia, and Shafi and Mss Dunklin, Harper, and Callender); Department of Neurology, University of Texas Southwestern Medical Center, Dallas, (Dr Diaz-Arrastia); and Center for Neuroscience and Regenerative Medicine, Uniformed Services University of the Health Sciences, Rockville, Maryland (Dr Diaz-Arrastia).
Marie N
MN
Dahdah
Mark T
MT
Barisa
Kathryn
K
Schmidt
Sunni A
SA
Barnes
Rosemary
R
Dubiel
Cynthia
C
Dunklin
Caryn
C
Harper
Librada
L
Callender
Amy
A
Wilson
Ramon
R
Diaz-Arrastia
Shahid
S
Shafi
D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D057186:Comparative Effectiveness Research; D004185:Disability Evaluation; D005260:Female; D023261:Glasgow Outcome Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology