[Rehabilitation results of persons with severe traumatic brain injury].
OBJECTIVE
There is a significant improvement in acute treatment and rehabilitation of patients with severe traumatic brain injury in the last 20 years.


OBJECTIVE
Introduction of the rehabilitation result of patients with severe traumatic brain injury treated at Neurorehabilitation unit of the National Institute for Medical Rehabilitation.


METHODS
Retrospective analysis of patients' data treated in the Neurorehabilitation unit 2002. year.


RESULTS
Data of 53 patients from the 165 severe traumatic brain injured patients treated in 2002. year were complete enough for analysis. The mean age of the patients was 30.6 (8-65) years. The interval between the time of injury and admission was 53 (21-120) days. The majority of patients injured in vehicular accidents (42/53). The length of stay in rehabilitation unit was 41 (8-92) days, but 20 patients were readmitted for further therapy (1-6 times) in these cases the hospitalization was 70 (8-206) days. The functional status of these patients was scored with Barthel Index (0-100). At the time of admission the mean score was: 25, at the time of discharge 50, one year after injury: 75. Twenty-two patients were independent one year after injury in performing daily activities. 35 patients became ambulatory at the time of discharge. 45 patients were discharged to their home, 6 patients had to be send back to the acute ward for observation serious complication.


CONCLUSIONS
Rehabilitation treatment of patients with severe traumatic brain injury is suggested in centers, where special team is available for the patients with multifunctional impairments. Nowadays, only one third of these patients are treated by rehabilitation centers in Hungary. Establishing new centers, development of the existing units, improvement the outpatient or community based rehabilitation facilities are suggested in order to improve the rehabilitation outcome of patients with severe traumatic brain injury.
Dénes
Zoltán
Z
Országos Orvosi Rehabilitációs Intézet, Koponya-agysérültek Rehabilitációs Osztálya, Budapest. z.denes@rehabint.hu
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000503:physiopathology* / Q000534:rehabilitation*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D006814:Hungary; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D020127:Recovery of Function; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D016896:Treatment Outcome