Autor: |
Ashley, Jessica G., Ashley, Mark J., Masel, Brent E., Randle, Kevin, Kreber, Lisa A., Singh, Charan, Harrington, David, Griesbach, Grace S. |
Předmět: |
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Zdroj: |
Brain Injury; 2018, Vol. 32 Issue 5, p600-607, 8p |
Abstrakt: |
Objective: Data regarding length of stay (LOS) in a rehabilitation programme after traumatic brain injury (TBI) are limited. The goal of this study was to examine the effect of LOS and disability on outcome following TBI.Methods: Records from patients in a multidisciplinary rehabilitation programme at least 3 months after TBI were analysed retrospectively to study the influence of LOS on functional outcome at different levels of disability. Functional status was determined by the Mayo-Portland Adaptability Inventory (MPAI) and the Community Integration Questionnaire (CIQ). Patients were further grouped by time since injury of 3-12 months or over 1 year.Results: Those with a mild and moderate disabilities and over 1 year chronicity showed improvements after 90 days of rehabilitation. Patients with a severe disability and over 1 year chronicity required at least 180 days to show improvements. Moderately and severely disabled patients with an injury chronicity of 3-12 months showed improvements in the MPAI after 90 days. However, further improvement was observed after 180 days in the severely disabled group.Conclusions: Results suggest that both, level of disability and injury chronicity, should be considered when determining LOS. Data also show an association between LOS and changes in the MPAI and CIQ. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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