Factors influencing rehabilitate outcome in adult traumatic brain injury in Qatar

Abstract EN

To analyze the factors influencing outcome in Trau¬matic Brain Injury (TBI) rehabilitation in Qatar medical records, we reviewed 50 patients with TBI who were seen between January 2004 and Sep 2007 in the Rehabilitation Unit of Rumailah Hospital (RH), Hamad Medical Corporation.

Demographic and clinical variables included age at admission, length of stay in acute care (LOSa), length of stay in rehabilitation (LOSr), Rancho Level (RLA), Glasgow Coma Scale (GCS).

Functional Outcomes were functional independence measure on admission (FIMa) and functional independence measure on discharge (FIMd).

There was a significant positive correlation of FIMd with FIMa and Rancho level (r = 0.69, p = 0.00 and r = 0.70, p = 0.00) respectively, where there was no correlation between FIMd and GCS score.

Nega¬tive correlation was observed between FIMd and age as well as LOSa (r = -0.47, p=0.01) and (r = -0.49, p = 0.00) respectively.

Multivariate regression analysis was performed taking age.

Rancho, FIMa, mobility, GCS and LOSa variables as independent and FIMd as the dependent variable.

The model could explain 70 % of variation.

It was concluded that the Rancho level of cogni¬tive functioning, FIMa and mobility variables were the most influential factors in determining the functional outcome.