Rehabilitation after trauma; Does age matter?

Bellal Joseph, Viraj Pandit, Hassan Aziz, Andrew Tang, Narong Kulvatunyou, Julie Wynne, Paul Hsu, Terence OKeeffe, Lynn Gries, Randall S. Friese, Peter Rhee

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Variability exits in the ability to predict overall recovery after trauma and inpatient rehabilitation. The aim of this study was to identify factors predicting functional improvement in trauma patients undergoing inpatient rehabilitation. Methods: We performed a 3-y retrospective cohort analysis on a prospectively collected database of all trauma patients discharged from a level I trauma center to a single inpatient rehabilitation center. Patient's Functional Independence Measures (FIM) scores on hospital discharge and on discharge from the rehabilitation center were collected. Delta FIM was defined as the difference in FIM between rehabilitation center discharge and hospital discharge. Multiple linear regressions were performed to identify hospital admission factors associated with delta FIM. Results: We included 160 patients, 69% were male, mean age 54.6 ± 22 y, and median Injury Severity Score 14 [10-50]. Based on rehabilitation admission FIM scores, 29 were totally dependent and 131 were partially dependent. The mean change in FIM was 39.4 ± 13. Age, gender, Glasgow Coma Scale on presentation, Injury Severity Score, systolic blood pressure on presentation, and intensive care unit length of stay were not predictive of delta FIM. Hospital length of stay and head Abbreviated Injury Score on hospital admission were negative predictors of delta FIM. Conclusions: In our study, age as an independent factor was not predictive of functional outcome after injury. The extent of head injury continues to negatively affect the overall functional improvement based on FIM.

Original languageEnglish (US)
Pages (from-to)541-545
Number of pages5
JournalJournal of Surgical Research
Volume184
Issue number1
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

Fingerprint

Rehabilitation Centers
Rehabilitation
Inpatients
Length of Stay
Injury Severity Score
Wounds and Injuries
Craniocerebral Trauma
Blood Pressure
Glasgow Coma Scale
Trauma Centers
Intensive Care Units
Linear Models
Cohort Studies
Databases

Keywords

  • Age and rehabilitation
  • Functional improvement
  • Functional Independence Measure
  • Predicting outcomes after trauma
  • Rehabilitation after trauma

ASJC Scopus subject areas

  • Surgery

Cite this

Joseph, B., Pandit, V., Aziz, H., Tang, A., Kulvatunyou, N., Wynne, J., ... Rhee, P. (2013). Rehabilitation after trauma; Does age matter? Journal of Surgical Research, 184(1), 541-545. https://doi.org/10.1016/j.jss.2013.03.069

Rehabilitation after trauma; Does age matter? / Joseph, Bellal; Pandit, Viraj; Aziz, Hassan; Tang, Andrew; Kulvatunyou, Narong; Wynne, Julie; Hsu, Paul; OKeeffe, Terence; Gries, Lynn; Friese, Randall S.; Rhee, Peter.

In: Journal of Surgical Research, Vol. 184, No. 1, 01.01.2013, p. 541-545.

Research output: Contribution to journalArticle

Joseph, B, Pandit, V, Aziz, H, Tang, A, Kulvatunyou, N, Wynne, J, Hsu, P, OKeeffe, T, Gries, L, Friese, RS & Rhee, P 2013, 'Rehabilitation after trauma; Does age matter?', Journal of Surgical Research, vol. 184, no. 1, pp. 541-545. https://doi.org/10.1016/j.jss.2013.03.069
Joseph B, Pandit V, Aziz H, Tang A, Kulvatunyou N, Wynne J et al. Rehabilitation after trauma; Does age matter? Journal of Surgical Research. 2013 Jan 1;184(1):541-545. https://doi.org/10.1016/j.jss.2013.03.069
Joseph, Bellal ; Pandit, Viraj ; Aziz, Hassan ; Tang, Andrew ; Kulvatunyou, Narong ; Wynne, Julie ; Hsu, Paul ; OKeeffe, Terence ; Gries, Lynn ; Friese, Randall S. ; Rhee, Peter. / Rehabilitation after trauma; Does age matter?. In: Journal of Surgical Research. 2013 ; Vol. 184, No. 1. pp. 541-545.
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