open access

Vol 44, No 5 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2010-02-08
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Early rehabilitation of comatose patients after traumatic brain injury

Marcela Lippert-Grüner
DOI: 10.1016/S0028-3843(14)60138-9
·
Neurol Neurochir Pol 2010;44(5):475-480.

open access

Vol 44, No 5 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2010-02-08

Abstract

Background and purpose

As a result of improvements in the rescue system and progress in intensive care therapy, an increasing number of patients have survived severe traumatic brain injury in recent years. Early and consistent administration of the correct rehabilitation programme is of crucial importance for the restoration and improvement of cerebral function, as well as social reintegration. This prospective study was conducted at the neurosurgical department of a university hospital to assess the one-year outcome of comatose patients after severe traumatic brain injury.

Material and methods

Twenty-seven patients were included. Patients received multimodal early-onset stimulation and continuous inpatient and outpatient rehabilitation therapy. One-year outcome was assessed by means of the Glasgow Outcome Scale, Barthel Index, Functional Independence Measure (FIM) and need of care.

Results

Seven patients died, 4 remained in a vegetative state, 7 were severely disabled, 6 were moderately disabled, and 3 achieved a good recovery 12 months after injury. Median Barthel Index was 65 and median FIM score was 84. The majority of patients were still at least intermittently dependent on care.

Conclusions

Despite intensive rehabilitation treatment, severe traumatic brain injury is still burdened with significant mortality and morbidity.

Abstract

Background and purpose

As a result of improvements in the rescue system and progress in intensive care therapy, an increasing number of patients have survived severe traumatic brain injury in recent years. Early and consistent administration of the correct rehabilitation programme is of crucial importance for the restoration and improvement of cerebral function, as well as social reintegration. This prospective study was conducted at the neurosurgical department of a university hospital to assess the one-year outcome of comatose patients after severe traumatic brain injury.

Material and methods

Twenty-seven patients were included. Patients received multimodal early-onset stimulation and continuous inpatient and outpatient rehabilitation therapy. One-year outcome was assessed by means of the Glasgow Outcome Scale, Barthel Index, Functional Independence Measure (FIM) and need of care.

Results

Seven patients died, 4 remained in a vegetative state, 7 were severely disabled, 6 were moderately disabled, and 3 achieved a good recovery 12 months after injury. Median Barthel Index was 65 and median FIM score was 84. The majority of patients were still at least intermittently dependent on care.

Conclusions

Despite intensive rehabilitation treatment, severe traumatic brain injury is still burdened with significant mortality and morbidity.

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Keywords

rehabilitation, coma, outcome, brain injury

About this article
Title

Early rehabilitation of comatose patients after traumatic brain injury

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 44, No 5 (2010)

Pages

475-480

DOI

10.1016/S0028-3843(14)60138-9

Bibliographic record

Neurol Neurochir Pol 2010;44(5):475-480.

Keywords

rehabilitation
coma
outcome
brain injury

Authors

Marcela Lippert-Grüner

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