Rehabilitation of traumatic brain injury in Italy: A multi-centred study

Zampolini, Mauro; Zaccaria, Barbara; Tolli, V.; Frustaci, Alessandra; Franceschini, M.; Group, on behalf of GISCAR

doi:10.3109/02699052.2011.635358

Cited by 30 publications

(26 citation statements)

References 16 publications

(40 reference statements)

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“…The mean 64 days of rehabilitation LOS for all patients in this study is similar to that reported for other European countries [16][17][18], Australia [15], and Saudi Arabia [19]. The USA is an exception, where rehabilitation LOS below 30 days is reported from the model systems national database [38,39].…”

Section: Length Of Stay In Rehabilitationsupporting

confidence: 84%

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

2017

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Objectives-1) To describe trends in time to rehabilitation admission and rehabilitation length of stay (LOS), and functional status, 2) To identify independent predictors of functional outcomes following rehabilitation.Design-Retrospective cohort study. Methods-We collected information on time from injury to rehabilitation admission, rehabilitation LOS, Functional Independence Measure (FIM) score (admission and discharge), and demographic variables by chart review. Hierarchical regression was employed to investigate variables associated with FIM score at rehabilitation discharge. Setting-TraumaticResults-Data from 208 patients were obtained. Mean time from injury to rehabilitation admission was 263±274 days. Rehabilitation LOS was 66±43 days. FIM scores improved significantly during rehabilitation. After controlling for other variables, increasing time from

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Section: Length Of Stay In Rehabilitationsupporting

confidence: 84%

“…In Australia, average LOS over a 5-year period in the 1990s was 62 days [15]. Italian researchers reported a mean rehabilitation LOS of 59±58 days [16] and 87±77 days [17]. In a prospective study from the Netherlands, people with moderate to severe traumatic brain injury stayed an average of 93±22 days in rehabilitation [18].…”

Section: Introductionmentioning

confidence: 99%

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

2017

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“…Discharged from our hospital with a "vegetative state" diagnosis, 40% of them had a haemorrhagic damage and 22% a post-stroke damage. The data was not in line with the literature, in which patients affected by a vegetative state secondary to an ischaemic brain damage were about 4%only [18] . Although this, our result was not significant on an epidemiological point of view related with the smallness of the sample recruited.…”

Section: "Beginning Statement" Epidepiomological and Behavioural Evalcontrasting

confidence: 94%

“…We recruited in this study 27 patients, divided in 4 groups in line with the brain damage cause. In accordance with the results of the Italian GISCAR study [17,18] , we found that patients affected by severe brain damage secondary to vascular accidents represented the most numerous group of our investigational study (about 60%). Discharged from our hospital with a "vegetative state" diagnosis, 40% of them had a haemorrhagic damage and 22% a post-stroke damage.…”

Section: "Beginning Statement" Epidepiomological and Behavioural Evalsupporting

confidence: 90%

Spasticity In Patients With Severe Acquired Brain Injury: An Inpairment That Is Poorly Understood And Poorly Measured

Falso¹,

Internationals²

2016

IJNBD

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Objective: to investigate any parametric and non-parametric correlations that might influence the development of spasticity in 27 patients affected by SBI in order to optimize their clinical and rehabilitative approach. Design: an observational and investigational study. Patients: 27 patients (14 males, 13 females; mean age 65 ± 15yy), affected by severe acquired brain injury and recovered in our Neurological Rehabilitation Section from February to October 2009. Methods: in accordance with our clinical study inclusion criteria (GCS < or = 8, LCF < or = 3, DRS < or = 22), patients were divided in 4 observational groups (post-stroke group, post-haemorrhagic group, post-anoxic group, post-traumatic group) and evaluated under an epidemiological, clinical and functional point of view. All patients had been undergoing same physiotherapy during the recovery and observational period, 6 days a week, in 2hour session, consisting in passive limb kinesis, neurodynamic limb exercises and postural control exercises. Results: 85% of patients recruited developed an upper and/or lower limb spasticity, never demonstrated in other clinical evidences. We observed that a) post-haemorrhagic group showed a higher incidence of limb spasticity b) spasticity will develop earlier in poststroke and traumatic patients c) spasticity severity is stronger in post-anoxic and traumatic brain injury. These parametric data were not statistically significant (p > 0.05). All patients received drug and physiotherapic treatment but only 30% of them will not develop limb spasticity. In line with the non-parametric statistical analysis, no correlation between the development of limb spasticity and nutritional and co-morbidity patients status was observed. Conclusions: the main finding of our study is that post-anoxic and TBI lesions have severe clinical picture with more bilateral and severe limb spasticity. We also observed that post-haemorrhagic patients develop rapidly spasticity mainly in the limbs and mainly if the lesion involves the subcortical nuclei, but these findings are not in agreement with the recent literature. Treating limb spasticity we noted that rehabilitative approach was more successful in patients with haemorrhagic lesion than in patients affected by post-anoxic state or TBI. In spite of the described conclusions, the definition of spasticity is not well known and investigated and represents an important step in order to optimize the clinical and rehabilitative approach of patients with SBI and affected by spasticity and pain related syndrome.

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“…Transferring TBI patients from an acute ward to an inpatient rehabilitation facility has shown to improve cognitive function as well as to lead to an overall shortening of the length of stay [23]. Knowing that PSH tends to disappear within time, the earlier transfer of the patients to a rehabilitation facility may be an explanation of why the PSH group was admitted to the hospital in a more acute phase that those that did not show PSH.…”

Section: Discussionmentioning

confidence: 99%

How does dysautonomia influence the outcome of traumatic brain injured patients admitted in a neurorehabilitation unit?

et al. 2013

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Rehabilitation of traumatic brain injury in Italy: A multi-centred study

Cited by 30 publications

References 16 publications

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

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

Spasticity In Patients With Severe Acquired Brain Injury: An Inpairment That Is Poorly Understood And Poorly Measured

How does dysautonomia influence the outcome of traumatic brain injured patients admitted in a neurorehabilitation unit?

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