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Ramon Diazarrastia - One of the best experts on this subject based on the ideXlab platform.

  • variations in inpatient Rehabilitation functional outcomes across Centers in the traumatic brain injury model systems study and the influence of demographics and injury severity on patient outcomes
    Archives of Physical Medicine and Rehabilitation, 2016
    Co-Authors: Marie N Dahdah, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia, Amy Buros
    Abstract:

    Abstract Objective To compare patient functional outcomes across Traumatic Brain Injury Model Systems (TBIMS) Rehabilitation Centers using an enhanced statistical model and to determine factors that influence those outcomes. Design Multicenter observational cohort study. Setting TBIMS Centers. Participants Patients with traumatic brain injury (TBI) admitted to 19 TBIMS Rehabilitation Centers from 2003–2012 (N=5505). Interventions Not applicable. Main Outcome Measures Functional outcomes of patients with TBI. Results Individuals with lower functional status at the time of admission, longer duration of posttraumatic amnesia, and higher burden of medical comorbidities continued to have worse functional outcomes at discharge from inpatient Rehabilitation and at the 1-year follow-up, whereas those who were employed at the time of injury had better outcomes at both time periods. Risk-adjusted patient functional outcomes for patients in most TBIMS Centers were consistent with previous research. However, there were wide performance differences for a few Centers even after using more recently collected data, improving on the regression models by adding predictors known to influence functional outcomes, and using bootstrapping to eliminate confounds. Conclusions Specific patient, injury, and clinical factors are associated with differences in functional outcomes within and across TBIMS Rehabilitation Centers. However, these factors did not explain all the variance in patient outcomes, suggesting a role of some other predictors that remain unknown.

  • comparative effectiveness of traumatic brain injury Rehabilitation differential outcomes across tbi model systems Centers
    Journal of Head Trauma Rehabilitation, 2014
    Co-Authors: Marie N Dahdah, Mark T Barisa, Kathryn L Schmidt, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia
    Abstract:

    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 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. CONCLUSION:: There are significant differences in functional outcomes of TBI patients across Rehabilitation Centers. Language: en

Marie N Dahdah - One of the best experts on this subject based on the ideXlab platform.

  • variations in inpatient Rehabilitation functional outcomes across Centers in the traumatic brain injury model systems study and the influence of demographics and injury severity on patient outcomes
    Archives of Physical Medicine and Rehabilitation, 2016
    Co-Authors: Marie N Dahdah, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia, Amy Buros
    Abstract:

    Abstract Objective To compare patient functional outcomes across Traumatic Brain Injury Model Systems (TBIMS) Rehabilitation Centers using an enhanced statistical model and to determine factors that influence those outcomes. Design Multicenter observational cohort study. Setting TBIMS Centers. Participants Patients with traumatic brain injury (TBI) admitted to 19 TBIMS Rehabilitation Centers from 2003–2012 (N=5505). Interventions Not applicable. Main Outcome Measures Functional outcomes of patients with TBI. Results Individuals with lower functional status at the time of admission, longer duration of posttraumatic amnesia, and higher burden of medical comorbidities continued to have worse functional outcomes at discharge from inpatient Rehabilitation and at the 1-year follow-up, whereas those who were employed at the time of injury had better outcomes at both time periods. Risk-adjusted patient functional outcomes for patients in most TBIMS Centers were consistent with previous research. However, there were wide performance differences for a few Centers even after using more recently collected data, improving on the regression models by adding predictors known to influence functional outcomes, and using bootstrapping to eliminate confounds. Conclusions Specific patient, injury, and clinical factors are associated with differences in functional outcomes within and across TBIMS Rehabilitation Centers. However, these factors did not explain all the variance in patient outcomes, suggesting a role of some other predictors that remain unknown.

  • comparative effectiveness of traumatic brain injury Rehabilitation differential outcomes across tbi model systems Centers
    Journal of Head Trauma Rehabilitation, 2014
    Co-Authors: Marie N Dahdah, Mark T Barisa, Kathryn L Schmidt, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia
    Abstract:

    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 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. CONCLUSION:: There are significant differences in functional outcomes of TBI patients across Rehabilitation Centers. Language: en

Xinyu Tang - One of the best experts on this subject based on the ideXlab platform.

  • descriptive findings of the va polytrauma Rehabilitation Centers tbi model systems national database
    Archives of Physical Medicine and Rehabilitation, 2018
    Co-Authors: Susan Ropacki, Risa Nakaserichardson, Leah Farrellcarnahan, Greg J Lamberty, Xinyu Tang
    Abstract:

    Abstract Objectives To present initial descriptive findings from the Veterans Affairs (VA) Polytrauma Rehabilitation Centers (PRC) Traumatic Brain Injury (TBI) Model Systems (MS) National Database. Design Prospective cohort study. Setting VA PRC TBIMS National Database. Participants 712 service members and veterans with TBI who consented to participate between January 2010 and June 2015. Interventions Not applicable. Main Outcome Measures Demographics, preinjury characteristics, injury characteristics, Rehabilitation course, functional outcomes, and discharge disposition by TBI severity level. Results The study cohort was predominantly male with moderate to severe TBI secondary to vehicular accident or blast injury. Sixty-five percent were active duty service members; one-third had been injured during deployment. One-third reported mental health treatment and/or alcohol use problems in the year predating the index TBI. The median number of days between injury and PRC admission was 42.5. Nearly 25% reported clinical levels of posttraumatic stress disorder; 75% reported mild to moderate neurobehavioral symptomatology. The median length of stay in the PRC was 36 days; those with severe TBI had the longest lengths of stay. Functional independence ratings improved from admission to discharge across all TBI severity levels. A majority were discharged to urban areas to reside with spouses or other residents in private residences or adult homes, with some variability by injury severity. Conclusions The VA PRC TBIMS national database is a rich source of information on a unique group of individuals with TBI and promises to complement existing knowledge on TBI in the civilian population.

Caryn R Harper - One of the best experts on this subject based on the ideXlab platform.

  • variations in inpatient Rehabilitation functional outcomes across Centers in the traumatic brain injury model systems study and the influence of demographics and injury severity on patient outcomes
    Archives of Physical Medicine and Rehabilitation, 2016
    Co-Authors: Marie N Dahdah, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia, Amy Buros
    Abstract:

    Abstract Objective To compare patient functional outcomes across Traumatic Brain Injury Model Systems (TBIMS) Rehabilitation Centers using an enhanced statistical model and to determine factors that influence those outcomes. Design Multicenter observational cohort study. Setting TBIMS Centers. Participants Patients with traumatic brain injury (TBI) admitted to 19 TBIMS Rehabilitation Centers from 2003–2012 (N=5505). Interventions Not applicable. Main Outcome Measures Functional outcomes of patients with TBI. Results Individuals with lower functional status at the time of admission, longer duration of posttraumatic amnesia, and higher burden of medical comorbidities continued to have worse functional outcomes at discharge from inpatient Rehabilitation and at the 1-year follow-up, whereas those who were employed at the time of injury had better outcomes at both time periods. Risk-adjusted patient functional outcomes for patients in most TBIMS Centers were consistent with previous research. However, there were wide performance differences for a few Centers even after using more recently collected data, improving on the regression models by adding predictors known to influence functional outcomes, and using bootstrapping to eliminate confounds. Conclusions Specific patient, injury, and clinical factors are associated with differences in functional outcomes within and across TBIMS Rehabilitation Centers. However, these factors did not explain all the variance in patient outcomes, suggesting a role of some other predictors that remain unknown.

  • comparative effectiveness of traumatic brain injury Rehabilitation differential outcomes across tbi model systems Centers
    Journal of Head Trauma Rehabilitation, 2014
    Co-Authors: Marie N Dahdah, Mark T Barisa, Kathryn L Schmidt, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia
    Abstract:

    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 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. CONCLUSION:: There are significant differences in functional outcomes of TBI patients across Rehabilitation Centers. Language: en

Sunni A Barnes - One of the best experts on this subject based on the ideXlab platform.

  • variations in inpatient Rehabilitation functional outcomes across Centers in the traumatic brain injury model systems study and the influence of demographics and injury severity on patient outcomes
    Archives of Physical Medicine and Rehabilitation, 2016
    Co-Authors: Marie N Dahdah, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia, Amy Buros
    Abstract:

    Abstract Objective To compare patient functional outcomes across Traumatic Brain Injury Model Systems (TBIMS) Rehabilitation Centers using an enhanced statistical model and to determine factors that influence those outcomes. Design Multicenter observational cohort study. Setting TBIMS Centers. Participants Patients with traumatic brain injury (TBI) admitted to 19 TBIMS Rehabilitation Centers from 2003–2012 (N=5505). Interventions Not applicable. Main Outcome Measures Functional outcomes of patients with TBI. Results Individuals with lower functional status at the time of admission, longer duration of posttraumatic amnesia, and higher burden of medical comorbidities continued to have worse functional outcomes at discharge from inpatient Rehabilitation and at the 1-year follow-up, whereas those who were employed at the time of injury had better outcomes at both time periods. Risk-adjusted patient functional outcomes for patients in most TBIMS Centers were consistent with previous research. However, there were wide performance differences for a few Centers even after using more recently collected data, improving on the regression models by adding predictors known to influence functional outcomes, and using bootstrapping to eliminate confounds. Conclusions Specific patient, injury, and clinical factors are associated with differences in functional outcomes within and across TBIMS Rehabilitation Centers. However, these factors did not explain all the variance in patient outcomes, suggesting a role of some other predictors that remain unknown.

  • comparative effectiveness of traumatic brain injury Rehabilitation differential outcomes across tbi model systems Centers
    Journal of Head Trauma Rehabilitation, 2014
    Co-Authors: Marie N Dahdah, Mark T Barisa, Kathryn L Schmidt, Sunni A Barnes, Rosemary Dubiel, Cynthia Dunklin, Caryn R Harper, Librada Callender, Amy Wilson, Ramon Diazarrastia
    Abstract:

    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 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. CONCLUSION:: There are significant differences in functional outcomes of TBI patients across Rehabilitation Centers. Language: en