TITLE

Impact of Length of Stay on Functional Outcomes of TBI Patients

AUTHOR(S)
Hawkins, M. L.; Lewis, F. D.; Medeiros, R. S.
PUB. DATE
November 2005
SOURCE
American Surgeon;Nov/2005, Vol. 71 Issue 11, p920
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The purpose of this study was to compare the functional outcomes of two groups of patients with traumatic brain injury (TBI) with attention to the impact of reduced length of stay (LOS) in the trauma center (TC) and rehabilitation hospital (RH). From 1991 to 1994, 55 patients. Group 1, with serious TBI (Abbreviated Injury Scale score ≥3) were admitted to a level 1 TC and subsequently transferred to a comprehensive inpatient RH. These results have been previously published. From 1996 to 2002,64 similarly injured patients. Group 2, received inpatient care at the same TC and RH. These patients had a marked decrease in length of stay. Functional Independence Measures (FIM) were obtained at admission (Adm), discharge (D/C), and at 1 year follow-up for both groups. The average length of stay at the TC dropped from 36 days in Group 1 to 26 days in Group 2. In addition, the average length of stay at the RH dropped from 46 days (Group 1) to 25 days (Group 2); overall, an average reduction of 31 days of inpatient care. Group 2 had significantly lower FIM scores at the time of RH discharge for self-care, locomotion, and mobility compared to Group 1. At the 1 year follow-up, however, there were no significant differences between Groups 1 and 2 in these FIM scores. FIM scores at 1 year were higher in Group 2 for communication (90% vs 71%) and social cognition (77% vs 49%) compared to Group 1. Over one-fourth of each group returned to work by the 1 year follow-up. Socially disruptive behavior occurred at least weekly in 28 per cent (Group 1) and 23 per cent (Group 2) of patients. The outcome for serious TBI is better than generally perceived. Reduction of inpatient LOS did not adversely affect the ultimate functional outcome. The decreased LOS placed a greater demand on outpatient rehabilitative services as well as a greater burden on the family of the brain-injured patient
ACCESSION #
18904024

 

Related Articles

  • Introduction to "The Power of the Human Heart": An Adapted Presentation with Trisha Meili and Jon Kabat- Zinn. Leskowitz, Eric // Advances in Mind-Body Medicine;Spring2004, Vol. 20 Issue 1, p4 

    Comments on the aid of mindfulness meditation to Trisha Meili in recovering from her traumatic brain injury in Boston, Massachusetts. Promotion on the use of ancient mind-body technique to assist medical rehabilitation; Efficacy of meditation in several healthcare conditions.

  • Rehabilitation after traumatic brain injury. Gentleman, D. // Trauma;Oct2001, Vol. 3 Issue 4, p193 

    Clinical and political responses to the worldwide epidemic of traumatic brain injury (TBI) need to recognize that the quality of outcome depends on both phases of treatment: acute care and rehabilitation. The growing scientific evidence for neural repair and regeneration has supported growing...

  • Disabled & not normal. Glintborg, Chalotte // Narrative Inquiry;2015, Vol. 25 Issue 1, p1 

    The transition from being well and fully functioning to being suddenly disabled by an acquired brain injury (ABI) and having to start a recovery process has a huge impact on a personfs life and, presumably, identity. However, research is still sparse on the psychosocial consequences of ABI,...

  • OF COURSE YOU CAN MANAGE HEAD TRAUMA PATIENTS. Mastrian, Kathleen G. // RN;Aug81, Vol. 44 Issue 8, p44 

    Reports on the management of brain-injured patients and other issues concerning medical rehabilitation. Discussion on skull fractures and the occurrence of brain injury; Observation on the level of consciousness and stimuli response; Reminders on drug administration and learning orientation. ...

  • Abstracts of recent literature. Edelstein, Joan; Schein, Jerome D. // Journal of Rehabilitation Research & Development;Nov95, Vol. 32 Issue 4, p383 

    Presents an abstract of the article `Functional Assessment Scales: A Study of Persons after Traumatic Brain Injury,' by Granger et al, published in the `American Journal of Physical Medicine and Rehabilitation' in 1995.

  • Mild Traumatic Brain Injury: A Call for Increased Awareness, Intervention, and Physical Activity. Wetzel, Andrew J.; Rorke, Stafford C. // Clinical Exercise Physiology;Nov2001, Vol. 3 Issue 4, p186 

    Examines the occurrence of mild traumatic brain injury (MTBI). Etiology of MTBI; Essence of a comprehensive rehabilitation program to treat patients with MTBI; Importance of regular physical activity in reducing disability and enhancing quality of life of MTBI patients.

  • Measuring outcome in community-based rehabilitation services for people who have suffered traumatic brain injury: the Community Outcome Scale. Stiwell, P.; Stilwell, J.; Davies, C. // Clinical Rehabilitation;Dec98, Vol. 12 Issue 6, p521 

    Objective: To develop a way of measuring long-term outcomes after traumatic brain injury (TBI) that takes account of individual circumstances. Design:EReports by head-injured people and their families about problems and coping strategies were elicited via semi-structured interviews. Specially...

  • The Functional Assessment Measure (FIM + FAM) as part of the hospital discharge summary after... Pentland, Brian; Hellawell, Deborah J. // Clinical Rehabilitation;Dec99, Vol. 13 Issue 6, p498 

    Assess the value of providing Functional Assessment Measure data as part of the hospital discharge information after brain injury rehabilitation. Methods used; Results; Discussion.

  • Understanding Traumatic Brain Injury: An Introduction. Trudel, Tina M.; Scherer, Marcia J.; Elias, Eileen // Exceptional Parent;Nov2009, Vol. 39 Issue 11, p41 

    The article discusses the causes, the symptoms, and the treatment of traumatic brain injury (TBI). It states that the leading causes of TBI are firearms and motor vehicle collisions for those under 75 years of age while falls for those 75 and older. It cites several symptoms of TBI, one of which...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics