Factors Predicting Functional and Cognitive Recovery Following Severe Traumatic, Anoxic, and Cerebrovascular Brain Damage
| Autor: | Maria Grazia Gambini, Antonio Fiaschi, L. Roncari, Renato Avesani, Nicola Smania, Patrizia Ianes, Valentina Varalta, Paolo Girardi, Marialuisa Gandolfi |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty predictive factors Traumatic brain injury Disability Rating Scale medicine.medical_treatment Glasgow Outcome Scale Physical Therapy Sports Therapy and Rehabilitation Brain damage discharge destination outcome assessment prognosis rehabilitation Settore MED/01 - Statistica Medica Disability Evaluation Outcome Assessment Health Care medicine Humans Glasgow Coma Scale Longitudinal Studies Prospective Studies Hypoxia Brain Acquired brain injury Analysis of Variance Rehabilitation business.industry Age Factors Middle Aged medicine.disease Functional Independence Measure Patient Discharge Brain Injuries Physical therapy Regression Analysis Female Disability Rating Scale discharge destination outcome assessment predictive factors prognosis rehabilitation Neurology (clinical) medicine.symptom Cognition Disorders business |
| Zdroj: | Journal of Head Trauma Rehabilitation. 28:131-140 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0b013e31823c0127 |
| Popis: | Objectives: To compare demographic data, clinical data, and rate of functional and cognitive recovery in patients with severe traumatic, cerebrovascular, or anoxic acquired brain injury (ABI) and to identify factors predicting discharge home. Participants: Three hundred twenty-nine patients with severe ABI (192 with traumatic, 104 with cerebrovascular, and 33 with anoxic brain injury). Design: Longitudinal prospective study of inpatients attending the intensive Rehabilitation Department of the “Sacro Cuore” Don Calabria Hospital (Negrar, Verona, Italy). Main measures: Etiology, sex, age, rehabilitation admission interval, rehabilitation length of stay, discharge destination, Glasgow Coma Scale, Disability Rating Scale (DRS), Glasgow Outcome Scale, Levels of Cognitive Functioning, and Functional Independence Measure. Results: Predominant etiology was traumatic; male gender was prevalent in all the etiologic groups; patients with traumatic brain injury were younger than the patients in the other groups and had shorter rehabilitation admission interval, greater functional and cognitive outcomes on all considered scales, and a higher frequency of returning home. Patients with anoxic brain injury achieved the lowest grade of functional and cognitive recovery. Age, etiology, and admission DRS score predicted return home. Conclusions: Patients with traumatic brain injury achieved greater functional and cognitive improvements than patients with cerebrovascular and anoxic ABI. Age, etiology, and admission DRS score can assist in predicting discharge destination. Keywords: Disability Rating Scale, discharge destination, outcome assessment, predictive factors, prognosis, rehabilitation |
| Databáze: | OpenAIRE |
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