Hux Karen
a Psychology Department, Quality Living, Inc , Omaha , NE , USA.
Brain Inj. 2019;33(10):1332-1340. doi: 10.1080/02699052.2019.1641745. Epub 2019 Jul 12.
: This study's purpose was to document the effect of post-acute rehabilitation on functional independence of adults with moderate or severe traumatic brain injury (TBI). : Retrospective analysis of admission and discharge scores on the () and () as well as discharge disposition was performed for 271 adults admitted to post-acute rehabilitation between 2012 and 2017. : Discharge disposition was home for 83.39% of cases. Home discharge cases admitted to rehabilitation significantly sooner after injury than supported living discharge cases. Also, home discharge cases achieved significantly better and scores both at admission and discharge than supported discharge cases. Analyses split by program duration revealed cases with ≤90 day stays were closer to injury upon admission and had significantly better admission and discharge and scores than those with longer stays. Although and change scores for home versus supported living discharge did not differ significantly, change scores for home discharge cases with ≤90-day programs were significantly smaller than those with >90-day programs. : Findings support the notion that providing intensive post-acute rehabilitation may increase the functional independence of people with moderate or severe TBI.
本研究的目的是记录急性后期康复对中度或重度创伤性脑损伤（TBI）成人患者功能独立性的影响。对2012年至2017年间入住急性后期康复机构的271名成人患者的入院和出院时的（）和（）评分以及出院处置情况进行了回顾性分析。83.39%的病例出院后回家。康复后回家的出院病例受伤后比入住辅助生活设施的出院病例更早入院。此外，康复后回家的出院病例在入院和出院时的（）和（）评分均显著高于入住辅助生活设施的出院病例。按住院时间分析显示，住院时间≤90天的病例入院时离受伤时间更近，其入院和出院时的（）和（）评分显著高于住院时间较长的病例。虽然回家与入住辅助生活设施出院的（）和（）变化评分无显著差异，但住院时间≤90天的回家出院病例的变化评分显著小于住院时间>90天的病例。研究结果支持这样一种观点，即提供强化的急性后期康复可能会提高中度或重度TBI患者的功能独立性。
