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Multidisciplinary attentive treatment for patients with chronic disorders of consciousness following severe traumatic brain injury in the NASVA of Japan.
- Source :
-
Brain injury [Brain Inj] 2019; Vol. 33 (13-14), pp. 1660-1670. Date of Electronic Publication: 2019 Sep 17. - Publication Year :
- 2019
-
Abstract
- Primary Objective : The aim of this study was to demonstrate the clinical outcomes of long-term multidisciplinary attentive treatment (MAT) in patients with chronic disorders of consciousness (DOC) due to severe traumatic brain injury (TBI) following automotive accidents. Research Design : Five hundred and ten patients (mean age: 40.4 years) were enrolled in this retrospective study. Methods and Procedures : Patients were provided MAT for one to several years in the eight medical facilities of the National Agency for Automotive Safety and Victims' Aid (NASVA) in Japan. Clinical status for consciousness, communication, and activities of daily living were evaluated using the NASVA grading system. Outcomes and results : Following MAT, NASVA scores at discharge were significantly improved compared to those at admission in every patient subgroup including sex, age, NASVA score, and association with/without hypoxic encephalopathy at admission. Younger age, shorter interval between injury and admission, and better neurocognitive function at admission were found to be significant and independent factors for a good prognosis. Conclusions : MAT can partially improve the cognitive and physical abilities of patients with chronic DOC. From the perspective of not only restoring a patient's daily life, but also reducing the caregiver's burden, this type of treatment program warrants more public attention.
- Subjects :
- Adolescent
Adult
Automobile Driving education
Automobile Driving psychology
Brain Injuries, Traumatic psychology
Chronic Disease
Consciousness Disorders psychology
Female
Glasgow Coma Scale standards
Humans
Japan epidemiology
Male
Middle Aged
Recovery of Function physiology
Retrospective Studies
Treatment Outcome
Young Adult
Automobile Driving standards
Brain Injuries, Traumatic epidemiology
Brain Injuries, Traumatic rehabilitation
Consciousness Disorders epidemiology
Consciousness Disorders rehabilitation
Patient Care Team standards
Subjects
Details
- Language :
- English
- ISSN :
- 1362-301X
- Volume :
- 33
- Issue :
- 13-14
- Database :
- MEDLINE
- Journal :
- Brain injury
- Publication Type :
- Academic Journal
- Accession number :
- 31530028
- Full Text :
- https://doi.org/10.1080/02699052.2019.1667535