title: Efficacy of a post-acute interval inpatient neurorehabilitation programme for severe brain injury.
abstract: BACKGROUND
  Patients with severe acute brain injury often suffer from prolonged limitations in the activities of daily living (ADL) after completion of initial neurorehabilitation.
  
  
  OBJECTIVE
  To analyse the efficacy of an inpatient interval rehabilitation programme (IRP) focused on patient goals in the chronic disease state.
  
  
  METHODS
  Retrospective longitudinal cohort study of IRP patients. Clinical scoring of ADLs was performed weekly during inpatient treatment. IRP success was rated with the Goal Attainment Scale. Regression analysis was used to identify factors that influence IRP success.
  
  
  RESULTS
  Data from 125 patients (50.4 years) were analysed. Delay between discharge from acute/sub-acute rehabilitation and admission to IRP was 552 days. IRP lasted for 46 days and 37% of rehabilitation attempts were rated as successful. A significant increase in FIM scores from 33 ± 22 to 36 ± 24 points (p < 0.001) occurred. Higher ADL scores at discharge from acute/sub-acute rehabilitation and decannulation of a tracheostomy tube as the primary IRP goal made an IRP success more likely.
  
  
  CONCLUSIONS
  Even several years after severe acute brain injury, an ICF-oriented IRP can lead to ADL improvements and achievement of specific goals. If confirmed by prospective trials, this strategy should be incorporated in healthcare systems.
authors: Therapiezentrum Burgau , Burgau , Germany .
authors: Andreas
authors: A
authors: Bender
authors: Stefan
authors: S
authors: Bauch
authors: Eva
authors: E
authors: Grill
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D001930:Brain Injuries / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D003072:Cognition Disorders / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D003266:Continuity of Patient Care; D004185:Disability Evaluation; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007297:Inpatients; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D057285:Precision Medicine; D015397:Program Evaluation; D020127:Recovery of Function; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome