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Letters Shirley Shapiro Ben David, MD This sample and selection bias would limit these results’ real- Israel Potasman, MD world applicability, as approximately 20% to 40% of trauma Daniella Rahamim-Cohen, MD patients are classified as uninsured or self-pay, depending on 4,5 the institution. Author Affiliations: Health Division, Maccabi Healthcare Services, Tel Aviv, Notably, at the time of admission to inpatient rehabilita- Israel (Shapiro Ben David, Rahamim-Cohen); Internal Medicine and Infectious tion under the TBIMS umbrella, only 12% had a persistent DOC, Diseases, Maccabi Healthcare Services, Haifa, Israel (Potasman). improved from 57% on presentation. While only 2% were Accepted for Publication: August 5, 2021. discharged from inpatient rehabilitation with DOC, it is clear Published Online: September 1, 2021. doi:10.1001/jamaneurol.2021.3287 the overall trajectory of this cohort during hospitalization and Corresponding Author: Shirley Shapiro Ben David, MD, Maccabi Healthcare prior to rehabilitation was already toward an encouraging re- Services, Hamered 27, Tel Aviv 6812509, Israel (shirley.shap@gmail.com). covery. That said, we still find these results quite impressive Author Contributions: Dr Shapiro Ben David had full access to all of the data in and agree with the message that there should be caution in the study and takes responsibility for the integrity of the
JAMA Neurology – American Medical Association
Published: Nov 4, 2021
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