A retrospective study of 251 patients admitted to a multidisciplinary, neurorehabilitation unit with intensive care unit capabilities

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Introduction: In Denmark specialized neurorehabilitation(SN) in patients with severe acquired brain injury(SABI) is centralised in two centres. In west neurorehabilitation is managed by Hammel Neurocentre(HNC). The NeuroIntensive Stepdown Unit(NISU) at Silkeborg Regional Hospital offers intensive care in addition to SN in patients en route to HNC. Knowledge on patients’ characteristics and course in the setting of NISU is sparse. Objective: To characterise NISU patients and change in function and to identify variables associated with referral from NISU to HNC. Methods: Data on functional scores and relevant covariates was extracted from hospital records on 251 patients admitted from 01.11.2011–31.07.2016. Statistical methods included logistic regression and paired tests. Results: Mean(SD) time from injury to NISU admission was 30(22) days, medians(IQR) of Functional Independence Measure(FIM) and Early Functional Abilities(EFA) increased from 18(18,19) to 24(18,44) and 37(30,46) to 52(43,70) respectively from admission to discharge, both significant (p<0.01). Spontaneous ventilation and better EFA score on admission were positively associated with early referral. Obesity and anoxic brain injury were negatively associated. Conclusion: These retrospective data demonstrated the functional improvement in SABI patients and identified variables associated with early referral. The study indicated higher sensitivity of the EFA on SABI patients as compared to the FIM. Keywords: intensive care unit; acquired brain injury; rehabilitation; mechanical ventilation; early functional abilities; functional independence measure.
OriginalsprogEngelsk
TidsskriftDisability and Rehabilitation
Vol/bind42
Nummer4
Sider (fra-til)528-535
Antal sider8
ISSN0963-8288
DOI
StatusUdgivet - feb. 2020

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