OBJECTIVE: To examine the extent to which outcomes from traumatic brain injury differ as a function of time and can be predicted at discharge from inpatient rehabilitation. DESIGN: Survey method employing cross-sectional analyses. SETTING: An inpatient brain injury rehabilitation unit in a large midwestern academic medical center. SUBJECTS: Ninety-five adults with traumatic brain injuries, 6 months to 5 years after inpatient rehabilitation, stratified by time postdischarge. MAIN OUTCOME MEASURES: Functional Independence Measure (FIM), Sickness Impact Profile (SIP), Medical Outcomes Survey SF-36, Community Integration Questionnaire (CIQ), Craig Handicap Assessment and Reporting Technique (CHART), Brief Symptom Inventory (BSI), Satisfaction With Life Scale (SWLS), and indices of current psychosocial functioning. RESULTS: Substance abuse, need for supervision, life satisfaction, and selected subscales of the CIQ and CHART differed over the period 6 months to 5 years after discharge. Approximately 75% of the variance in current FIM scores, and 40% to 50% of CHART, CIQ, and SIP total scores, could be predicted at time of discharge. CONCLUSIONS: Outcomes over the first 5 years after discharge were dynamic, with most change being improvement, at least after the first 2 years. Important aspects of outcome could not be predicted based on premorbid characteristics, injury severity, and initial functional abilities.
OBJECTIVE: To examine the extent to which outcomes from traumatic brain injury differ as a function of time and can be predicted at discharge from inpatient rehabilitation. DESIGN: Survey method employing cross-sectional analyses. SETTING: An inpatient brain injury rehabilitation unit in a large midwestern academic medical center. SUBJECTS: Ninety-five adults with traumatic brain injuries, 6 months to 5 years after inpatient rehabilitation, stratified by time postdischarge. MAIN OUTCOME MEASURES: Functional Independence Measure (FIM), Sickness Impact Profile (SIP), Medical Outcomes Survey SF-36, Community Integration Questionnaire (CIQ), Craig Handicap Assessment and Reporting Technique (CHART), Brief Symptom Inventory (BSI), Satisfaction With Life Scale (SWLS), and indices of current psychosocial functioning. RESULTS:Substance abuse, need for supervision, life satisfaction, and selected subscales of the CIQ and CHART differed over the period 6 months to 5 years after discharge. Approximately 75% of the variance in current FIM scores, and 40% to 50% of CHART, CIQ, and SIP total scores, could be predicted at time of discharge. CONCLUSIONS: Outcomes over the first 5 years after discharge were dynamic, with most change being improvement, at least after the first 2 years. Important aspects of outcome could not be predicted based on premorbid characteristics, injury severity, and initial functional abilities.
Authors: Natalie P Kreitzer; Kimberly Hart; Christopher J Lindsell; Geoffrey T Manley; Sureyya S Dikmen; Jonathan J Ratcliff; John K Yue; Opeolu M Adeoye Journal: J Head Trauma Rehabil Date: 2019 May/Jun Impact factor: 2.710
Authors: Natalie Kreitzer; Sonia Jain; Jacob S Young; Xiaoying Sun; Murray B Stein; Michael A McCrea; Harvey S Levin; Joseph T Giacino; Amy J Markowitz; Geoffrey T Manley; Lindsay D Nelson Journal: J Neurotrauma Date: 2021-10-18 Impact factor: 5.269
Authors: Jennifer L Lowing; Laura L Susick; James P Caruso; Anthony M Provenzano; Ramesh Raghupathi; Alana C Conti Journal: J Neurotrauma Date: 2014-09-02 Impact factor: 5.269
Authors: Shannon B Juengst; Leah M Adams; Jennifer A Bogner; Patricia M Arenth; Therese M O'Neil-Pirozzi; Laura E Dreer; Tessa Hart; Thomas F Bergquist; Charles H Bombardier; Marcel P Dijkers; Amy K Wagner Journal: Rehabil Psychol Date: 2015-11
Authors: Rachel Sayko Adams; Jessica M Ketchum; Risa Nakase-Richardson; Douglas I Katz; John D Corrigan Journal: Am J Phys Med Rehabil Date: 2021-08-01 Impact factor: 3.412