Are rehabilitation outcomes after severe anoxic brain injury different from severe traumatic brain injury? A matched case–control study
| Autor: | Ridvan Alaca, Evren Yaşar, Emre Adiguzel, Serdar Kesikburun, Berke Aras, Arif Kenan Tan, Ismail Safaz, Yasin Demir |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation law.invention Disability Evaluation 03 medical and health sciences 0302 clinical medicine law Brain Injuries Traumatic Injury prevention Humans Medicine Retrospective Studies Coma Rehabilitation business.industry Case-control study 030208 emergency & critical care medicine Retrospective cohort study Recovery of Function Length of Stay medicine.disease Intensive care unit body regions Intensive Care Units Case-Control Studies Hypoxia-Ischemia Brain Linear Models Physical therapy Female medicine.symptom business human activities 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Rehabilitation Research. 41:47-51 |
| ISSN: | 0342-5282 |
| Popis: | Many reports have investigated rehabilitation outcomes after a traumatic brain injury (TBI); however, comparably less is known about whether they differ from outcomes of an anoxic brain injury (ABI). Thus, we aimed to compare the rehabilitation outcomes of patients with ABI with control patients who have TBI. Forty participants with ABI and 40 participants with TBI were included in this retrospective study. Participants with ABI were matched with participants with TBI who had similar clinical characteristics such as age, initial Functional Independence Measurement (FIM) score, and duration of coma. FIM and Functional Ambulation Classification (FAC) scores on rehabilitation admission and on rehabilitation discharge were recorded. The FIM score in the ABI group was 41.7±28.5 on rehabilitation admission and increased to 57.1±31.4 on rehabilitation discharge. The FIM score in the TBI group was 40.8±24.0 on rehabilitation admission and increased to 65.9±35.3 on rehabilitation discharge. There was no statistically significant difference in the FIM scores on rehabilitation discharge between groups. Initial FAC was similar in both groups and there was no statistically significant difference in the FAC scores on rehabilitation discharge. The multiple linear regression analysis showed that intensive care unit length of stay had an inverse relationship with the FAC change. We did not find significant differences in the rehabilitation outcomes of participants with ABI compared with participants with TBI. Considering the lack of information in the literature on ABI rehabilitation, this study may be important to guide rehabilitation teams. |
| Databáze: | OpenAIRE |
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