Process and outcome during early inpatient rehabilitation after brain injury

Disability and Rehabilitation
Mark EdwardsRichard Greenwood

Abstract

To describe aspects of process and outcome during early inpatient rehabilitation of younger adults after single incident brain injury. Analysis of a database of 290 patients discharged from an inner-city hospital based inpatient unit for younger adults after single incident neurological events, over a 5-year period. Analysis showed a stable case-mix of patients over the 5 years surveyed with a preponderance of young male patients after traumatic brain injury. Improvements in patients' disability and dependency, measured by the Barthel Index and Functional Independence Measure, were recorded in the majority of patients. The ethnic diversity of the patients, reflecting the multi-cultural nature of the catchment population, did not appear to affect rehabilitation outcome. Failure to record improvement in 15% of patients was related to the floor and ceiling effects of the instruments. A useful regression equation was produced relating length of stay to Barthel score on admission. These data demonstrate the changes that occur during early inpatient rehabilitation after single incident brain injury. They explore clinical indicators of dependency and outcome, and aspects of resource utilization that characterize our service. Publicati...Continue Reading

Citations

Mar 17, 2007·Brain Injury : [BI]·Nora CullenErabi Group
Aug 10, 2006·Clinical Rehabilitation·Aneetha Skinner, Lynne Turner-Stokes
Jun 8, 2004·Clinical Rehabilitation·Clarence LiuRichard Greenwood
Feb 14, 2012·Neurorehabilitation and Neural Repair·Ian I KneeboneMark Cropley
Dec 31, 2004·American Journal of Physical Medicine & Rehabilitation·Gavin WilliamsKen Greenwood
Mar 30, 2020·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Sofia StraudiNino Basaglia
Aug 24, 2005·Medical Care·Carlo SaittoProspective Payment in Rehabilitation Collaborative Group

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