| Titre : | Medical Comorbidities in Disorders of Consciousness Patients and Their Association With Functional Outcomes (2013) |
| Auteurs : | Shanti Ganesh ; Ann Guernon ; Laura Chalcraft ; et al. |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2013/10, 2013) |
| Article en page(s) : | pp. 1899-1907 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Comorbidité ; Rééducation et réadaptation |
| Mots-clés: | Brain Injuries ; Lésions encéphaliques ; Comorbidity ; Consciousness Disorders ; Troubles de la conscience |
| Résumé : |
Objective To identify, for patients in states of seriously impaired consciousness, comorbid conditions present during inpatient rehabilitation and their association with function at 1 year. Design Abstracted data from a prospective cross-sectional observational study with data collection occurring January 1996 through December 2007. Setting Four inpatient rehabilitation facilities in metropolitan areas. Participants The study sample of 68 participants is abstracted from a database of 157 patients remaining in states of seriously impaired consciousness for at least 28 days. Interventions Not applicable. Main Outcome Measure One-year cognitive, motor, and total FIM score. Results The most common medical complications during inpatient rehabilitation for the study sample are active seizures (46%), spasticity (57%), urinary tract infections (47%), and hydrocephalus with and without shunt (38%). Presence of ≥3 medical complications during inpatient rehabilitation, controlling for injury severity, is significantly (P<.05 associated with poorer total fim and motor scores year after injury. the presence of hydrocephalus without shunt p active seizures spasticity urinary tract infections were significantly cognitive respectively.> Conclusions Reported findings indicate that persons in states of seriously impaired consciousness with higher numbers of medical complications during inpatient rehabilitation are more likely to have lower functional levels 1-year postinjury. The findings indicate that persons with ≥3 medical complications during inpatient rehabilitation are at a higher risk for poorer functional outcomes at 1 year. It is, therefore, prudent to evaluate these patients for indications of these complications during inpatient rehabilitation. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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