Research Reports - Impact of rehabilitation on functional outcome during the first year of moderate and severe traumatic brain injury

Brain Inj. 2013 Dec 30

Agrawal M, Joshi M

Abstract Objectives: To describe the functional level after 1 year in moderate
and severe traumatic brain injury (TBI). Study design: Prospective,
cross-sectional study. Setting and participants: Seventy individuals with TBI
were admitted directly from acute care hospitals to a rehabilitation facility in
Sawai Mansingh Medical College and Hospital, Jaipur (SMS). A follow-up of 58
patients was done up to 1 year later in the period from July 2011 to July 2012.
Results: Mean change in FIM scores from admission to discharge was 51.26 and from
admission to 12 months it was 85.3 in the moderate injury group. Mean change in
DRS from admission to discharge was -8.19 and from admission to 12 months it was
-17.76 in the moderate injury group and -8.55 and -19 in the severe injury group,
respectively. The correlation coefficient (r) between FIM and GOSE was 0.570 and
between FIM and DRS was -0.8190, both of which were significant. Conclusions: All
individuals improved significantly in the inpatient rehabilitation facility in
the acute phase, with maximum gain in function seen from admission to discharge
as assessed on FIM and DRS. The majority of the individuals continued to improve
up to 6 months post-injury.

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