Journal:Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):14, 1, 95, 2140-51
Study examined racial and ethnic differences in self-care and mobility outcomes for people with a motor complete, traumatic spinal cord injury (SCI) at discharge and 1-year follow-up. Participants were 1,766 adults with traumatic, motor complete SCI enrolled in the Spinal Cord Injury Model Systems database between 2000 and 2011. Selected cases had complete self-reported data on race and ethnicity (non-Hispanic white, non-Hispanic black, or Hispanic) and Functional Independence Measure (FIM) scores assessed at inpatient rehabilitation admission, discharge, and 1-year follow-up. Functional outcomes were measured by FIM self-care and mobility scores on a 1 to 7 FIM scale, at discharge and 1-year follow-up. Multiple regression models stratified by neurologic category and adjusted for sociodemographic and injury characteristics assessed racial and ethnic group differences in FIM self-care and mobility change scores at discharge and 1-year follow-up. At discharge, non-Hispanic black participants with tetraplegia and paraplegia had significantly poorer gains in FIM self-care and mobility scores relative to non-Hispanic white and Hispanic participants. At 1-year follow-up, similar FIM self-care and mobility change scores were found across racial and ethnic groups within each neurologic category. Additional research is needed to identify potential modifiable factors that may contribute to racially and ethnically different patterns of functional outcomes observed during inpatient rehabilitation.