Back to Search Start Over

The influence of post-acute rehabilitation length of stay on traumatic brain injury outcome: a retrospective exploratory study.

Authors :
Ashley, Jessica G.
Ashley, Mark J.
Masel, Brent E.
Randle, Kevin
Kreber, Lisa A.
Singh, Charan
Harrington, David
Griesbach, Grace S.
Source :
Brain Injury. 2018, Vol. 32 Issue 5, p600-607. 8p.
Publication Year :
2018

Abstract

<bold>Objective</bold>: 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.<bold>Methods</bold>: 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.<bold>Results</bold>: 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.<bold>Conclusions</bold>: 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]

Details

Language :
English
ISSN :
02699052
Volume :
32
Issue :
5
Database :
Academic Search Index
Journal :
Brain Injury
Publication Type :
Academic Journal
Accession number :
128422250
Full Text :
https://doi.org/10.1080/02699052.2018.1432896