Rehabilitation outcomes of cardiac and non-cardiac anoxic brain injury: A single institution experience.

Saved in:

Bibliographic Details
Title:	Rehabilitation outcomes of cardiac and non-cardiac anoxic brain injury: A single institution experience.
Authors:	Burke, D. T., Shah, M. K., Dorvlo, A. S. S., Al-Adawi, S.
Source:	Brain Injury. Aug2005, Vol. 19 Issue 9, p675-680. 6p.
Subjects:	Brain injuries, Medical rehabilitation, Rehabilitation, Hospital admission & discharge, Etiology of diseases, Heart diseases
Abstract:	Objective : To compare the functional outcomes of patients with anoxic brain injury (ABI) due to cardiac and non-cardiac aetiologies. Design : Retrospective chart review over 4 years. Setting : Freestanding rehabilitation hospital. Participants : Thirteen patients with cardiac ABI and 13 patients with non-cardiac ABI. Intervention : Comprehensive, multi-disciplinary inpatient rehabilitation services. Main outcome measures : Rehabilitation hospital length of stay (LOS) and cost; Functional Independence Measure (FIM) scores and its various sub-sets on admission and discharge; FIM efficiency and change; and discharge disposition. Results : Patients with cardiac ABI were similar in gender and ethnicity when compared to patients with non-cardiac ABI but were older (average age 52 vs 42) with a higher percentage of cardiac patients married (77% vs 39%). No statistically significant differences were found between the two groups on all sub-sets of the FIM on admission and discharge as well as the different FIM efficiencies. However, there was a trend for the cardiac ABI patients to have a greater efficiency in improving mobility during rehabilitation when compared to non-cardiac ABI patients. The rehabilitation hospital LOS was?~28 days less for patients with cardiac ABI (41.49 vs 69.84 days), but this difference was not statistically significant ( p ?=?0.26). The mean rehabilitation cost for patients with cardiac ABI was?~?$14 000 less than that for those with non-cardiac ABI ($44 181 vs $58 187). This difference was not statistically significant ( p ?=?0.15). Cardiac ABI patients were more likely to be discharged directly to home from rehabilitation when compared to non-cardiac ABI patients ( p ?=?0.06). Conclusion : This pilot study demonstrates some differences in the recovery patterns of patients with ABI who had a cardiac aetiology and those who had non-cardiac aetiologies. While both groups experienced similar progress during rehabilitation, those with cardiac ABI made gains with a shorter LOS and less rehabilitation costs when compared to non-cardiac ABI patients. These data suggest a trend towards greater cost and length of stay for patients with ABI who had non-cardiac aetiologies. [ABSTRACT FROM AUTHOR]
	Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection

Description
Abstract:	Objective : To compare the functional outcomes of patients with anoxic brain injury (ABI) due to cardiac and non-cardiac aetiologies. Design : Retrospective chart review over 4 years. Setting : Freestanding rehabilitation hospital. Participants : Thirteen patients with cardiac ABI and 13 patients with non-cardiac ABI. Intervention : Comprehensive, multi-disciplinary inpatient rehabilitation services. Main outcome measures : Rehabilitation hospital length of stay (LOS) and cost; Functional Independence Measure (FIM) scores and its various sub-sets on admission and discharge; FIM efficiency and change; and discharge disposition. Results : Patients with cardiac ABI were similar in gender and ethnicity when compared to patients with non-cardiac ABI but were older (average age 52 vs 42) with a higher percentage of cardiac patients married (77% vs 39%). No statistically significant differences were found between the two groups on all sub-sets of the FIM on admission and discharge as well as the different FIM efficiencies. However, there was a trend for the cardiac ABI patients to have a greater efficiency in improving mobility during rehabilitation when compared to non-cardiac ABI patients. The rehabilitation hospital LOS was?~28 days less for patients with cardiac ABI (41.49 vs 69.84 days), but this difference was not statistically significant ( p ?=?0.26). The mean rehabilitation cost for patients with cardiac ABI was?~?$14 000 less than that for those with non-cardiac ABI ($44 181 vs $58 187). This difference was not statistically significant ( p ?=?0.15). Cardiac ABI patients were more likely to be discharged directly to home from rehabilitation when compared to non-cardiac ABI patients ( p ?=?0.06). Conclusion : This pilot study demonstrates some differences in the recovery patterns of patients with ABI who had a cardiac aetiology and those who had non-cardiac aetiologies. While both groups experienced similar progress during rehabilitation, those with cardiac ABI made gains with a shorter LOS and less rehabilitation costs when compared to non-cardiac ABI patients. These data suggest a trend towards greater cost and length of stay for patients with ABI who had non-cardiac aetiologies. [ABSTRACT FROM AUTHOR]
ISSN:	02699052
DOI:	10.1080/02699050400024953