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2
The severe traumatic brain injury in Austria: early rehabilitative treatment and outcome.奥地利的重度创伤性脑损伤：早期康复治疗与预后
J Trauma Manag Outcomes. 2016 Mar 15;10:5. doi: 10.1186/s13032-016-0035-8. eCollection 2016.
3
Presence of a dedicated trauma center physiatrist improves functional outcomes following traumatic brain injury.配备专业的创伤中心精神科医生可改善创伤性脑损伤后的功能预后。
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Functional level during the first 2 years after moderate and severe traumatic brain injury.中度和重度创伤性脑损伤后最初两年的功能水平。
Brain Inj. 2015;29(12):1431-8. doi: 10.3109/02699052.2015.1063692. Epub 2015 Sep 11.
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Actual data on epidemiological evolution and prevention endeavours regarding traumatic brain injury.关于创伤性脑损伤的流行病学演变和预防工作的实际数据。
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Mood after moderate and severe traumatic brain injury: a prospective cohort study.中度和重度创伤性脑损伤后的情绪：一项前瞻性队列研究。
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Causes and patterns of adult traumatic head injuries in Saudi Arabia: implications for injury prevention.沙特阿拉伯成人创伤性脑损伤的原因及模式：对伤害预防的启示
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Changing patterns in the epidemiology of traumatic brain injury.创伤性脑损伤的流行病学变化模式。
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Exploring variables associated with rehabilitation length of stay in brain injuries patients.探讨与脑损伤患者康复住院时间相关的变量。
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The changing landscape of traumatic brain injury research.创伤性脑损伤研究的不断变化的格局。
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沙特阿拉伯利雅得的创伤性脑损伤康复：康复入院时间、住院时长及功能转归

Traumatic brain injury rehabilitation in Riyadh, Saudi Arabia: Time to rehabilitation admission, length of stay and functional outcome.

作者信息

Qannam Hazem, Mahmoud Husam, Mortenson W Ben

机构信息

a Occupational Therapy Unit , King Fahad Medical City Rehabilitation Hospital , Riyadh , Saudi Arabia.

b Comprehensive Rehabilitation Care Department , King Fahad Medical City Rehabilitation Hospital , Riyadh , Saudi Arabia.

出版信息

Brain Inj. 2017;31(5):702-708. doi: 10.1080/02699052.2017.1286386. Epub 2017 Mar 31.

DOI:10.1080/02699052.2017.1286386
PMID:28362120
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5567668/
Abstract

OBJECTIVES

(1) Describe trends in time to rehabilitation admission and rehabilitation length of stay (LOS), (2) compare functional independence at discharge from rehabilitation between patients who arrived directly from acute care versus those from elsewhere and (3) identify independent predictors of functional outcomes following rehabilitation.

SETTING

Traumatic brain injuries rehabilitation unit of King Fahad Medical City, Riyadh, Saudi Arabia.

METHODS

We collected information on time from injury to rehabilitation admission, rehabilitation LOS, functional independence measure (FIM) score (admission and discharge) and demographic variables for 66 patients who arrived to rehabilitation from acute care and 142 patients who arrived from elsewhere. A mixed model analysis of variance measured change in FIM score between groups. Hierarchical regression was employed to investigate variables associated with FIM score at rehabilitation discharge.

RESULTS

Patients arriving directly from acute care had a time from injury to rehabilitation admission 1/3 that of, and a higher discharge FIM score than, patients arriving from elsewhere. For the latter group, increasing time from injury to rehabilitation admission was associated with lower rehabilitation discharge FIM score.

CONCLUSIONS

Reducing time from injury to rehabilitation admission and promoting enrolment to inpatient traumatic brain injury rehabilitation directly from acute care may improve functional outcome at discharge from rehabilitation.

摘要

目的

（1）描述康复入院时间和康复住院时间（LOS）的趋势，（2）比较直接从急性护理机构入院的患者与从其他地方入院的患者康复出院时的功能独立性，以及（3）确定康复后功能结果的独立预测因素。

地点

沙特阿拉伯利雅得法赫德国王医疗城创伤性脑损伤康复科。

方法

我们收集了66名从急性护理机构转入康复科的患者和142名从其他地方转入康复科的患者从受伤到康复入院的时间、康复住院时间、功能独立性测量（FIM）评分（入院和出院时）以及人口统计学变量的信息。采用混合模型方差分析来测量两组之间FIM评分的变化。采用分层回归分析来研究与康复出院时FIM评分相关的变量。

结果

直接从急性护理机构入院的患者从受伤到康复入院的时间是从其他地方入院患者的1/3，且出院时FIM评分更高。对于后一组患者，从受伤到康复入院时间的增加与康复出院时较低的FIM评分相关。

结论

减少从受伤到康复入院的时间，并促进直接从急性护理机构转入创伤性脑损伤住院康复治疗，可能会改善康复出院时的功能结果。