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Titre : | The Influence of Substance Use on Traumatic Brain Injury Recovery and Rehabilitation Outcomes: The Outcome-ABI Study (2023) |
Auteurs : | Eric Xie ; Michael Pellegrini ; Zhibin Chen ; Laura Jolliff ; Maria Crotty ; Julie Ratcliffe ; Jacqui Morarty ; Terence J. O'Brien ; Natasha A. Lannin |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 7, 2023) |
Article en page(s) : | p. 1115-1123 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.03.015 |
Langues: | Anglais |
Descripteurs : |
HE Vinci État fonctionnel ; Lésions traumatiques de l'encéphale ; Qualité de vie ; Réadaptation ; Troubles liés à une substance |
Résumé : | Objective This study characterized substance use (alcohol, illicit drugs, amphetamines) in patients with traumatic brain injury (TBI) receiving rehabilitation to determine potential benefit of rehabilitation and whether substance use influenced outcomes in moderate?severe TBI. Design Prospective, longitudinal study of adults with moderate or severe TBI receiving inpatient rehabilitation. Setting Specialist-staffed acquired brain injury rehabilitation center in Melbourne, Australia. Participants A total of 153 consecutive inpatients with TBI admitted between January 2016 and December 2017 (24 months). Interventions All inpatients with TBI (n=153) received specialist-provided brain injury rehabilitation in accordance with evidence-based guideline care at one 42-bed rehabilitation center. Main Outcome Measures Data were collected at time of TBI, upon rehabilitation admission, and discharge and 12 months? post-TBI. Recovery was measured by posttraumatic amnesia posttraumatic amnesia length-days and change in Glasgow Coma Scale (admission?discharge). Functional independence was measured on the FIM, Functional Assessment Measure, and Mayo Portland Adaptability Index. Quality of life (QOL) was measured on the EuroQOL-5D-5L and Quality of Life After Brain Injury (QOLIBRI) instruments. Results Inpatients with history of illicit drug use (n=54) reported lower QOL and adjustment at 12 months? post-TBI compared with those with no history (QOLIBRI social relationships: ratio of means=0.808, P=.028; Mayo Portland Adaptability Index adjustment: incidence rate ratio, 1.273; P=.032). Amphetamine use at time of injury (n=10) was associated with quicker recovery (posttraumatic amnesia length-days: incidence rate ratio, 0.173; P<.01 however lower qol at months post-tbi was noted in those with a history of amphetamine use compared without bothered feelings: ratio means p=".036)." conclusions all participants made improvements rehabilitation substance associated reported qol. these findings add insight to the associations between and acute recovery potentially suggestive short-term recovery-promoting effect amphetamines but highlighting importance address long-term sequalae.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001843 |