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Updated: Jan 5, 2026
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Race/Ethnicity Matters: Differences in Poststroke Inpatient Rehabilitation Outcomes
James J Garcia1, Karlita L Warren2
1Department of Psychology, University of La Verne, La Verne, CA and the Department of Neuropsychology and Psychology, Casa Colina Hospital and Centers for Healthcare, Pomona, CA.
Objective:
To examine racial/ethnic differences in poststroke inpatient rehabilitation outcomes.
Design:
Cross-sectional and retrospective study of administrative data across 2002-2018.
Setting:
An inpatient rehabilitation facility in Southern California.
Participants:
3,876 racial/ethnic people aged ≥ 18 years.
Main Outcome Measures:
Functional Independence Measure (FIM®) and discharge disposition.
Results:
Participants were non-Hispanic Whites (NHWs, 68.5%), Hispanics (17.1%), non-Hispanic Asians (NHAs, 7.4%), and non-Hispanic Blacks (NHBs, 6.4%) aged 18-102 years (Mage = 68.47±14.66 years; MLOS = 19.47±10.05 days). Above and beyond covariates, multivariate hierarchical regression analyses showed race/ethnicity significantly predicted admission, motor efficiency, and discharge FIM® scores. Compared with NHWs, the Hispanic and NHA groups were associated with lower cognitive, motor, and total FIM® scores at admission; the NHB group was associated with lower motor efficiency, lower discharge motor and total FIM® scores, whereas the Hispanic group was associated with higher discharge total FIM® scores. Lastly, Hispanics had higher odds of a discharge home compared with NHWs.
Conclusions:
Findings suggest racial/ethnic differences exist in poststroke rehabilitation outcomes.
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