@article{ref1,
title="Post-acute rehabilitation effects on functional outcome and discharge disposition of people with severe traumatic brain injury",
journal="Brain injury",
year="2019",
author="Hux, Karen",
volume="33",
number="10",
pages="1332-1340",
abstract="<b>Objective</b>: This study's purpose was to document the effect of post-acute rehabilitation on functional independence of adults with moderate or severe traumatic brain injury (TBI). <b>Methods</b>: Retrospective analysis of admission and discharge scores on the <i>Northwick Park Dependency Score</i> (<i>NPDS</i>) and <i>Mayo-Portland Adaptability Inventory - Fourth Edition</i> (<i>MPAI-4</i>) as well as discharge disposition was performed for 271 adults admitted to post-acute rehabilitation between 2012 and 2017. <b>Results</b>: Discharge disposition was home for 83.39% of cases. Home discharge cases admitted to rehabilitation significantly sooner after injury than supported living discharge cases. Also, home discharge cases achieved significantly better <i>NPDS</i> and <i>MPAI-4</i> scores both at admission and discharge than supported discharge cases. Analyses split by program duration revealed cases with ≤90 day stays were closer to injury upon admission and had significantly better admission and discharge <i>NPDS</i> and <i>MPAI-4</i> scores than those with longer stays. Although <i>NPDS</i> and <i>MPAI-4</i> change scores for home versus supported living discharge did not differ significantly, change scores for home discharge cases with ≤90-day programs were significantly smaller than those with >90-day programs. <b>Conclusion</b>: Findings support the notion that providing intensive post-acute rehabilitation may increase the functional independence of people with moderate or severe TBI.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2019.1641745",
url="http://dx.doi.org/10.1080/02699052.2019.1641745"
}