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

Research output: Contribution to journalArticle

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

Fingerprint

Rehabilitation
Wounds and Injuries
Traumatic Brain Injury

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

Cite this

Post-acute rehabilitation effects on functional outcome and discharge disposition of people with severe traumatic brain injury. / Hux, Karen.

In: Brain Injury, Vol. 33, No. 10, 24.08.2019, p. 1332-1340.

Research output: Contribution to journalArticle

@article{2125996d783b46eaacae9e24f6e73c50,
title = "Post-acute rehabilitation effects on functional outcome and discharge disposition of people with severe traumatic brain injury",
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.",
keywords = "Activities of daily living, functional disorders, functional status, living skills, outcome, rehabilitation",
author = "Karen Hux",
year = "2019",
month = "8",
day = "24",
doi = "10.1080/02699052.2019.1641745",
language = "English (US)",
volume = "33",
pages = "1332--1340",
journal = "Brain Injury",
issn = "0269-9052",
publisher = "Informa Healthcare",
number = "10",

}

TY - JOUR

T1 - Post-acute rehabilitation effects on functional outcome and discharge disposition of people with severe traumatic brain injury

AU - Hux, Karen

PY - 2019/8/24

Y1 - 2019/8/24

N2 - 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.

AB - 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.

KW - Activities of daily living

KW - functional disorders

KW - functional status

KW - living skills

KW - outcome

KW - rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=85068769556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068769556&partnerID=8YFLogxK

U2 - 10.1080/02699052.2019.1641745

DO - 10.1080/02699052.2019.1641745

M3 - Article

C2 - 31296063

AN - SCOPUS:85068769556

VL - 33

SP - 1332

EP - 1340

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 10

ER -