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Functional recovery following traumatic vs non-traumatic brain injury: a case-controlled study

Authors
 NORA K. CULLEN  ;  YOON-GHIL PARK  ;  MARK T. BAYLEY 
Citation
 BRAIN INJURY, Vol.22(13-14) : 1013-1020, 2008 
Journal Title
BRAIN INJURY
ISSN
 0269-9052 
Issue Date
2008
MeSH
Accidents, Traffic ; Adult ; Aged ; Brain Injuries/etiology ; Brain Injuries/physiopathology ; Brain Injuries/psychology ; Brain Injuries/rehabilitation* ; Case-Control Studies ; Cerebrovascular Disorders/physiopathology ; Cerebrovascular Disorders/psychology ; Cerebrovascular Disorders/rehabilitation ; Disability Evaluation ; Female ; Glasgow Coma Scale ; Humans ; Male ; Middle Aged ; Prognosis ; Recovery of Function* ; Treatment Outcome ; Young Adult
Keywords
Outcome assessment ; rehabilitation ; traumatic brain injury ; non-traumatic brain injury
Abstract
PRIMARY OBJECTIVE: To explore differences in rate of recovery and functional outcome in case-matched patients with traumatic (TBI) vs non-traumatic brain injury (non-TBI) during inpatient rehabilitation and 1 year post-insult.

RESEARCH DESIGN: Retrospective comparison study and case-controlled design.

METHODS AND PROCEDURES: Demographic data, severity of injury, functional outcome measures and outcomes at 1 year follow-up were collected on 573 patients (404 TBI; 169 non-TBI) admitted to a multidisciplinary neurorehabilitation programme. After general cohort comparisons, 86 TBI and 86 non-TBI patients were matched on age, severity of injury and functional outcome scores.

MAIN OUTCOMES AND RESULTS: In the general cohort analyses, TBI patients demonstrated better outcomes at discharge as indicated by lower Disability Rating Scale (DRS) scores and higher gain and efficiency scores on both motor and cognitive sub-scales of the Functional Independence Measure (FIM). After matching patients, TBI patients showed greater functional improvement throughout their rehabilitation stay. Outcomes at 1 year follow-up were mixed; TBI patients showed better outcomes compared to non-TBI patients on DRS scores; however, FIM scores were not significantly different.

CONCLUSIONS: Results from the present study support the hypothesis that TBI patients achieve greater functional improvements compared to non-TBI patients when matched according to injury and demographic characteristics
Full Text
http://informahealthcare.com/doi/abs/10.1080/02699050802530581
DOI
10.1080/02699050802530581
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Yoon Ghil(박윤길) ORCID logo https://orcid.org/0000-0001-9054-5300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107942
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