
@article{ref1,
title="The influence of post-acute rehabilitation length of stay on traumatic brain injury outcome: a retrospective exploratory study",
journal="Brain injury",
year="2018",
author="Ashley, Jessica G. and Ashley, Mark J. and Masel, Brent E. and Randle, Kevin and Kreber, Lisa A. and Singh, Charan and Harrington, David and Griesbach, Grace S.",
volume="32",
number="5",
pages="600-607",
abstract="OBJECTIVE: Data regarding length of stay (LOS) in a rehabilitation programme after traumatic brain injury (TBI) are limited. The goal of this study was to examine the effect of LOS and disability on outcome following TBI. <br><br>METHODS: Records from patients in a multidisciplinary rehabilitation programme at least 3 months after TBI were analysed retrospectively to study the influence of LOS on functional outcome at different levels of disability. Functional status was determined by the Mayo-Portland Adaptability Inventory (MPAI) and the Community Integration Questionnaire (CIQ). Patients were further grouped by time since injury of 3-12 months or over 1 year. <br><br>RESULTS: Those with a mild and moderate disabilities and over 1 year chronicity showed improvements after 90 days of rehabilitation. Patients with a severe disability and over 1 year chronicity required at least 180 days to show improvements. Moderately and severely disabled patients with an injury chronicity of 3-12 months showed improvements in the MPAI after 90 days. However, further improvement was observed after 180 days in the severely disabled group. <br><br>CONCLUSIONS: Results suggest that both, level of disability and injury chronicity, should be considered when determining LOS. Data also show an association between LOS and changes in the MPAI and CIQ.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2018.1432896",
url="http://dx.doi.org/10.1080/02699052.2018.1432896"
}