West Orange, NJ. August 21, 2014. Researchers have published a study examining racial and ethnic influences in the outcomes of patients with motor complete spinal cord injury (SCI). The article, "Racial and ethnic disparities in functioning at discharge and follow-up among patients with motor complete SCI," was published online ahead of print on August 2 by the Archives of Physical Medicine & Rehabilitation (doi: 10.1016/j.apmr.2014.07.398). Findings included small but significant differences in self-care and mobility at discharge; no differences were apparent at 1-year followup. Authors are Denise Fyffe, PhD, and Amanda Botticello, PhD, MPH, of Kessler Foundation, Steven Kirshblum, MD, of Kessler Institute for Rehabilitation, Anne Deutsch, RN, PhD, CRRN, of Rehabilitation Institute of Chicago and RTI International, and Kenneth Ottenbacher, PhD, OTR, of the University of Texas Medical Branch.
Data for 1,766 adults with motor complete SCI (ASIA grade A or B) were derived from the Spinal Cord Injury Model System Database, a national, longitudinal database funded by the National Institute on Disability and Rehabilitation Research (NIDRR). Patients selected represented the three largest groups with SCI: non-Hispanic whites, non-Hispanic blacks, and Hispanic. Functional outcomes were measured at admission, discharge and 1-year followup using the Functional Independence Measure (FIM) scale for self-care and mobility.
Few studies have been conducted on health disparities and functional outcomes in SCI despite the fact that racial and ethnic minorities are more likely to develop secondary complications, be unemployed, and have compromised quality of life. "In this study, at discharge from rehabilitation, greater improvement in FIM scores for self-care and mobility was seen in Hispanics and non-Hispanic whites, when compared with non-Hispanic blacks," noted Dr. Fyffe, research scientist in Spinal Cord Injury/Outcomes & Assessment Research at Kessler Foundation. "Further investigation into the mechanisms that underlie these differences is needed," said Dr. Fyffe, "in order to determine modifiable factors associated with successful transition, functional independence and quality of life for persons with complete SCI."
Dr. Fyffe is a co-author of a related article, "Longitudinal analysis of hospitalization after spinal cord injury: Variation based on race and ethnicity," published online on August 2 by Archives of Physical Medicine & Rehabilitation (DOI: 10.1016/j.apmr.2014.07.399).
Dr. Fyffe is a model system co-investigator for the Northern New Jersey SCI System and assistant professor at Rutgers – New Jersey Medical School.
Supported by the National Center for Medical Rehabilitation Research (National Institute of Child Health and Human Development) (R24 HD065702 [Deutsch, Fyffe, Ottenbacher]); National Institute on Disability and Rehabilitation Research (H133N110020 [Fyffe, Botticello, Kirshblum]); National Institute of Arthritis and Musculoskeletal and Skin Diseases (U01AR057929-03S1 [Fyffe]); and Kessler Foundation (Fyffe; Botticello).
About Kessler Foundation
Kessler Foundation, a major nonprofit organization in the field of disability, is a global leader in rehabilitation research that seeks to improve cognition, mobility and long-term outcomes, including employment, for people with neurological disabilities caused by diseases and injuries of the brain and spinal cord. Kessler Foundation leads the nation in funding innovative programs that expand opportunities for employment for people with disabilities. For more information, visit KesslerFoundation.org.
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Archives of Physical Medicine and Rehabilitation