Article

OBJECTIVE: To examine associations of patient and injury characteristics with
outcomes at inpatient rehabilitation discharge and 9 months postdischarge for
patients with traumatic brain injury (TBI). DESIGN: Prospective, longitudinal
observational study. SETTING: Inpatient rehabilitation centers. PARTICIPANTS:
Consecutive patients (N=2130) enrolled between 2008 and 2011, admitted for
inpatient rehabilitation after index TBI, and divided into 5 subgroups based on
rehabilitation admission FIM cognitive score. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Rehabilitation length of stay, discharge to home, and FIM at
discharge and 9 months postdischarge. RESULTS: Severity indices increased
explained variation in outcomes beyond that accounted for by patient
characteristics. FIM motor scores were generally the most predictable. Higher
functioning subgroups had more predictable outcomes then subgroups with lower
cognitive function at admission. Age at injury, time from injury to
rehabilitation admission, and functional independence at rehabilitation admission
were the most consistent predictors across all outcomes and subgroups.
CONCLUSIONS: Findings from previous studies of the relations among patient and
injury characteristics and rehabilitation outcomes were largely replicated.
Discharge outcomes were most strongly associated with injury severity
characteristics, whereas predictors of functional independence at 9 months
postdischarge included both patient and injury characteristics.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS