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Factors Influencing Rehabilitation Outcome in Adult Traumatic Brain Injury in Qatar

机译:影响卡塔尔成人颅脑外伤康复结果的因素

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To analyze the factors influencing outcome in Traumatic Brain Injury (TBI) rehabilitation in Qatar medical records, we reviewed 50 patients with TBI who were seen between January 2004 and Sep 2007 in the Rehabilitation Unit of Rumailah Hospital (RH), Hamad Medical Corporation. Demographic and clinical variables included age at admission, length of stay in acute care (LOSa), length of stay in rehabilitation (LOSr), Rancho Level (RLA), Glasgow Coma Scale (GCS). Functional Outcomes were functional independence measure on admission (FIMa) and functional independence measure on discharge (FIMd). There was a significant positive correlation of FIMd with FIMa and Rancho level (r?=?0.69, p?=?0.00 and r?=?0.70, p?=?0.00) respectively, where there was no correlation between FIMd and GCS score. Negative correlation was observed between FIMd and age as well as LOSa (r?=???0.47, p?=?0.01) and (r?=???0.49, p?=?0.00) respectively. Multivariate regression analysis was performed taking age, Rancho, FIMa, mobility, GCS and LOSa variables as independent and FIMd as the dependent variable. The model could explain 70% of variation. It was concluded that the Rancho level of cognitive functioning, FIMa and mobility variables were the most influential factors in determining the functional outcome.
机译:为了分析影响卡塔尔医疗记录中创伤性脑损伤(TBI)康复结果的因素,我们回顾了2004年1月至2007年9月在哈马德医疗公司Rumailah医院(RH)康复科中发现的50例TBI患者。人口统计学和临床​​变量包括入院时的年龄,急性护理的住院时间(LOSa),康复的住院时间(LOSr),牧场水平(RLA),格拉斯哥昏迷量表(GCS)。功能结果是入院时的功能独立性评估(FIMa)和出院时的功能独立性评估(FIMd)。 FIMd与FIMa和Rancho水平呈显着正相关(r?=?0.69,p?=?0.00和r?=?0.70,p?=?0.00),而FIMd和GCS评分之间没有相关性。 。在FIMd与年龄以及LOSa之间分别观察到负相关(rα= 0.47,p = 0.01)和(rα= 0.49,p = 0.00)。进行多元回归分析,以年龄,牧场,FIMa,流动性,GCS和LOSa变量为自变量,以FIMd为因变量。该模型可以解释70%的变化。结论是,认知功能,FIMa和活动性变量的牧场水平是决定功能结果的最有影响力的因素。

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