{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:31:36Z","timestamp":1787848296183,"version":"build-2784847793"},"reference-count":25,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVES:<\/jats:title>\n                  <jats:p>To describe the prevalence of postdischarge outpatient rehabilitation among Medicaid-insured children hospitalized with a traumatic brain injury (TBI) and to identify factors associated with receipt of services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Retrospective cohort of children &amp;lt;21 years, hospitalized for a TBI between 2007 and 2012, from a national Medicaid claims database. Outcome measures were receipt of outpatient rehabilitation (physical, occupational, or speech therapies or physician visits to a rehabilitation provider) 1 and 3 years after discharge. Multivariable regression analyses determined the association of demographic variables, injury severity, and receipt of inpatient services with receipt of outpatient rehabilitation at 1 and 3 years. The mean number of services was compared between racial\/ethnic groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Among 9361 children, only 29% received any type of outpatient rehabilitation therapy during the first year after injury, although 62% sustained a moderate to severe TBI. The proportion of children receiving outpatient therapies declined to 12% in the second and third years. The most important predictor of receipt of outpatient rehabilitation was receipt of inpatient therapies or consultation with a rehabilitation physician during acute care. Compared with children of other racial\/ethnic groups, Hispanic children had lower rates of receipt of outpatient speech therapy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Hospitalized children who received inpatient assessment of rehabilitation needs were more likely to continue outpatient rehabilitation care. Hispanic children with TBI were less likely than non-Hispanics to receive speech therapy. Interventions to increase inpatient rehabilitation during acute care might increase outpatient rehabilitation and improve outcomes for all children.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2015-3500","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T12:12:27Z","timestamp":1462536747000},"source":"Crossref","is-referenced-by-count":35,"title":["Outpatient Rehabilitation for Medicaid-Insured Children Hospitalized With Traumatic Brain Injury"],"prefix":"10.1542","volume":"137","author":[{"given":"Nathalia","family":"Jimenez","sequence":"first","affiliation":[{"name":"Departments of Anesthesiology and Pain Medicine,"},{"name":"Harborview Injury Prevention and Research Center,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca G.","family":"Symons","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research 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Research,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Temkin","sequence":"additional","affiliation":[{"name":"Neurologic Surgery,"},{"name":"Biostatistics, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth M.","family":"Jaffe","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center,"},{"name":"Pediatrics,"},{"name":"Neurologic Surgery,"},{"name":"Rehabilitation Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick P.","family":"Rivara","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center,"},{"name":"Pediatrics,"},{"name":"Epidemiology,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,6,1]]},"reference":[{"key":"2021120904505514400_B1","volume-title":"Report to Congress on Traumatic Brain Injury in the 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