Improvement rate of patients with severe brain injury during post-acute intensive rehabilitation

Autor: Paola Cicinelli, Marta Aloisi, V. Vinicola, Cecilia Della Vedova, Maria Matteis, Marco Iosa, Maria Gabriella Buzzi, Marianna Contrada, Francesca Spanedda, Letizia Laurenza, Rita Formisano
Rok vydání: 2017
Předmět:
0301 basic medicine
Rehabilitation hospital
Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
improvement rate
Glasgow Outcome Scale
Dermatology
Rehabilitation Centers
03 medical and health sciences
Disability Evaluation
Young Adult
0302 clinical medicine
Internal medicine
severe brain injury
disorders of consciousness
post-acute rehabilitation
early rehabilitation
medicine
Humans
Glasgow Coma Scale
Child
Acquired brain injury
Coma
Rehabilitation
business.industry
General Medicine
Disability Rating Scale
Recovery of Function
Length of Stay
Middle Aged
medicine.disease
Patient Discharge
Hospitalization
Psychiatry and Mental health
030104 developmental biology
Treatment Outcome
Brain Injuries
Etiology
Female
Neurology (clinical)
Neurosurgery
medicine.symptom
business
030217 neurology & neurosurgery
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 39(4)
ISSN: 1590-3478
Popis: Patients with severe acquired brain injury (SABI) may evolve towards different outcomes. The primary aim was to evaluate the clinical evolution of a large population of patients with SABI admitted to post-acute rehabilitation from 2001 to 2016, diagnosed with severe brain injury (GCS ≤ 8) in the acute phase and a coma duration of at least 24 h. The possible changes between the admission time to a post-acute rehabilitation hospital and the discharge time were measured by means of Glasgow Outcome Scale (GOS), Level of Cognitive Functioning (LCF), and Disability Rating Scale (DRS). We also correlated the improvement rate with some sociodemographic and clinical features of the individuals with SABI enrolled. Data of 890 patients were analyzed (54% TBI, length of stay = 162 ± 186 days, GCS = 7.46 ± 1.28); time interval from the SABI (OR = 0.246, CI 95% = 0.181 – 0.333), scores at admission of LCF (OR = 2.243, CI 95% = 1.492 – 3.73), GOS (OR = 0.138, CI 95% = 0.071 – 0.266), DRS (OR = 0.457, CI 95% = 0.330 – 0.632), and etiology (OR = 2.273, CI 95% = 1.676 – 3.084) played a significant role (p
Databáze: OpenAIRE
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