Post-acute rehabilitation effects on functional outcome and discharge disposition of people with severe traumatic brain injury

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: 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). Methods: Retrospective analysis of admission and discharge scores on the Northwick Park Dependency Score (NPDS) and Mayo-Portland Adaptability Inventory–Fourth Edition (MPAI-4) as well as discharge disposition was performed for 271 adults admitted to post-acute rehabilitation between 2012 and 2017. Results: 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 NPDS and MPAI-4 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 NPDS and MPAI-4 scores than those with longer stays. Although NPDS and MPAI-4 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. Conclusion: Findings support the notion that providing intensive post-acute rehabilitation may increase the functional independence of people with moderate or severe TBI.

Original languageEnglish (US)
Pages (from-to)1332-1340
Number of pages9
JournalBrain Injury
Volume33
Issue number10
DOIs
StatePublished - Aug 24 2019

Keywords

  • Activities of daily living
  • functional disorders
  • functional status
  • living skills
  • outcome
  • rehabilitation

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology

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