Outcome after severe brain damage, what makes the difference?

Brain Inj. 2005 Jul;19(7):493-503. doi: 10.1080/02699050400013709.

Abstract

Objective: To assess and compare the consequences for outcome in terms of the dimensions of activity and participation for two groups: group A, which received early formalized rehabilitation, and group B, which received late or no formalized rehabilitation.

Research design: A cross-sectional study.

Procedure: Twenty-six patients (A: n = 14 and B: n = 12) with severe brain damage were included. The participants were assessed a mean of 26.6 months (SD 7.1, median 25, range 14-41) after the incident using the structured form for the Swedish Neuro database, the Glasgow Outcome Scale (GOS), the Extended Glasgow Outcome Scale (GOSE) and the Functional Independence Measure (FIM).

Results: The study reveals a better outcome for group A. No patient remained in a vegetative state in group A as compared with three in group B. In group A, 50% were independent as compared with 17% in group B. The frequency of return to work was 43% in group A, but no patient in group B had returned to work.

Publication types

  • Evaluation Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Adult
  • Brain Injuries / rehabilitation*
  • Continuity of Patient Care
  • Cross-Sectional Studies
  • Employment
  • Female
  • Follow-Up Studies
  • Glasgow Outcome Scale
  • Humans
  • Male
  • Middle Aged
  • Rehabilitation Centers
  • Time Factors
  • Trauma Severity Indices
  • Treatment Outcome