Time between acquired brain injury and admission to community-based rehabilitation: differences in cognitive and functional gains

To determine differences in rehabilitation gains made by people with an acquired brain injury undergoing staged community-based brain injury rehabilitation (SCBIR) at different times between injury and admission. Retrospective cohort analysis of routinely collected demographic and rehabilitation dat...

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Bibliographic Details
Published in:Brain injury 2020-05, Vol.34 (6), p.713-722
Main Authors: Williams, Elly, Martini, Angelita, Jackson, Hayley, Wagland, Janet, Turner-Stokes, Lynne
Format: Article
Language:English
Subjects:
Brain injuries
neurologic rehabilitation
outcome assessment
recovery of function
time factors
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Summary:To determine differences in rehabilitation gains made by people with an acquired brain injury undergoing staged community-based brain injury rehabilitation (SCBIR) at different times between injury and admission. Retrospective cohort analysis of routinely collected demographic and rehabilitation data from clients admitted to SCBIR service 2011-2017 (n=92). Outcome measures: Mayo-Portland Adaptability Inventory-4 (MPAI-4) and UK Functional Assessment Measure (UK FIM+FAM) collected on admission and annually thereafter until discharge. Analysis was stratified by time since injury on admission: 'Early' (2 years (n=22)). Between-group differences were tested using bootstrapped one-way ANOVA. Within-group differences were tested using paired T tests. Total cohort made significant gains in MPAI-4 and UK FIM+FAM total and all subscales (p = .001). Early group made greatest change in all subscales of both outcome measures (p 
ISSN:0269-9052
1362-301X
DOI:10.1080/02699052.2020.1740943