Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.
| Published in | American Journal of Nursing Science (Volume 4, Issue 3) |
| DOI | 10.11648/j.ajns.20150403.20 |
| Page(s) | 113-118 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
FIM, GOSE, MMSE, GOAT, Cognitive, Rehabilitation, PTA (Post Traumatic Amnesia)
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APA Style
Mahima Agrawal, Mrinal Joshi. (2015). Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury. American Journal of Nursing Science, 4(3), 113-118. https://doi.org/10.11648/j.ajns.20150403.20
ACS Style
Mahima Agrawal; Mrinal Joshi. Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury. Am. J. Nurs. Sci. 2015, 4(3), 113-118. doi: 10.11648/j.ajns.20150403.20
AMA Style
Mahima Agrawal, Mrinal Joshi. Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury. Am J Nurs Sci. 2015;4(3):113-118. doi: 10.11648/j.ajns.20150403.20
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Download@article{10.11648/j.ajns.20150403.20,
author = {Mahima Agrawal and Mrinal Joshi},
title = {Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury},
journal = {American Journal of Nursing Science},
volume = {4},
number = {3},
pages = {113-118},
doi = {10.11648/j.ajns.20150403.20},
url = {https://doi.org/10.11648/j.ajns.20150403.20},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20150403.20},
abstract = {Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.},
year = {2015}
}
TY - JOUR T1 - Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury AU - Mahima Agrawal AU - Mrinal Joshi Y1 - 2015/05/13 PY - 2015 N1 - https://doi.org/10.11648/j.ajns.20150403.20 DO - 10.11648/j.ajns.20150403.20 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 113 EP - 118 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20150403.20 AB - Objectives: To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups. Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI. VL - 4 IS - 3 ER -
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