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Titolo:
Role of agitation in prediction of outcomes after traumatic brain injury
Autore:
Bogner, JA; Corrigan, JD; Fugate, L; Mysiw, WJ; Clinchot, D;
Indirizzi:
Ohio State Univ, Dept Phys Med & Rehabil, Columbus, OH 43210 USA Ohio State Univ Columbus OH USA 43210 d & Rehabil, Columbus, OH 43210 USA
Titolo Testata:
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
fascicolo: 9, volume: 80, anno: 2001,
pagine: 636 - 644
SICI:
0894-9115(200109)80:9<636:ROAIPO>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLOSED-HEAD-INJURY; BEHAVIOR SCALE; GALVESTON ORIENTATION; PRACTICAL SCALE; AMNESIA TEST; RECOVERY; REHABILITATION; MANAGEMENT; COGNITION; PATIENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Bogner, JA 480 W 9th Ave, Columbus, OH 43210 USA 480 W 9th Ave Columbus OH USA 43210 ve, Columbus, OH 43210 USA
Citazione:
J.A. Bogner et al., "Role of agitation in prediction of outcomes after traumatic brain injury", AM J PHYS M, 80(9), 2001, pp. 636-644

Abstract

Objective: To determine the role of agitation in the prediction of traumatic brain injury rehabilitation outcomes. Design: A longitudinal study of 340 consecutive patients admitted to an acute traumatic brain injury rehabilitation unit was conducted. Outcomes under study included rehabilitation length of stay, discharge destination, functional independence at discharge (FIM (TM) instrument), productivity at 1-yr follow-up, and life satisfaction at 1-yr follow-up (Satisfaction with Life Scale). Results: Univariate analyses suggested that the presence of agitation in rehabilitation is predictive of a longer length of stay and decreased functional independence in the cognitive realm at discharge. In addition, individuals who exhibit agitation at any time during rehabilitation are less likely to be discharged to a private residence. However, multivariate analyses indicated that cognitive functioning at admission to rehabilitation (FIM cognitive) mediates the relationship between the presence of agitation and length of rehabilitation, as well as between agitation and FIM cognitive at discharge. Similar results were found when discharge residence was the dependent variable; however, agitation also contributed some unique variance to the prediction. Lower cognitive functioning at admission to rehabilitation was associated with the occurrence of agitation during rehabilitation, longer length of stay, lower cognitive functioning at discharge, and a decreasedlikelihood that an individual would be discharged to a private residence. Conclusions: The results of the multivariate analyses support the contention that agitation and cognition are intimately related, with the long-term effects of the former being at least partially driven by the latter. These findings support the importance of systematically monitoring both agitationand cognition when applying interventions to reduce agitation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:40:23