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Older Adults with Acquired Brain Injury: Outcomes After Inpatient Rehabilitation*

Published online by Cambridge University Press:  06 August 2013

Vincy Chan ,
Brandon Zagorski ,
Daria Parsons  and
Angela Colantonio
Vincy Chan
Affiliation:
Toronto Rehabilitation Institute-University Health Network Graduate Department of Rehabilitation Science, University of Toronto
Brandon Zagorski
Affiliation:
Institute of Health Policy, Management, and Evaluation, University of Toronto
Daria Parsons
Affiliation:
Ontario Neurotrauma Foundation
Angela Colantonio*
Affiliation:
Toronto Rehabilitation Institute-University Health Network Graduate Department of Rehabilitation Science, University of Toronto Dalla Lana School of Public Health, University of Toronto
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Angela Colantonio, Ph.D., FACRM, CIHR Research Chair in Gender, Work and Health University of Toronto 160-500 University Avenue Toronto, ON M5G 1V7 ([email protected])
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Abstract

This study examined a population-based profile of older adults with acquired brain injury, and their functional outcomes, in in-patient rehabilitation. Older adults aged 65 and older admitted to in-patient rehabilitation from acute care with traumatic brain injury (TBI) (n = 1214) or non-traumatic brain injury (nTBI) (n = 1,530) from 2003/04 to 2009/10 in Ontario were identified. Demographic and clinical characteristics and the total function score from the FIM(TM) Instrument were examined. The Discharge Abstract Database and National Rehabilitation Reporting System were used. Results indicated that older adults with TBI had significantly higher total function scores than those with nTBI at admission and at discharge (p < .001). However, both groups made significant (p < .001) and similar gains (p > .05) in total function scores. We conclude that older adults with TBI and nTBI make similar in-patient rehabilitation gains. Lower initial functional ability of nTBI patients on admission and patients’ different clinical profiles have implications for clinical care and resources.

Résumé

Cette étude a examiné un profil basé sur la population des personnes âgées atteintes des lésions cérébrales acquises (LCA), et de leur résultats fonctionnels, en réadaptation en milieu hospitalier au Canada. Les personnes âgées de 65 ans et plus qui ont été admises en réadaptation en milieu hospitalier de soins aigus pour un traumatisme cranio-cérébrale (TCC) (n = 1 214) ou une lésion cérébrale non pas traumatique (nTCC) (n = 1 530) ont été identifiées en Ontario de 2003/04 à 2009/10. Les caractéristiques démographiques et cliniques et les notes fonctionnelles totales de l’instrument (FIMMD) ont eté examinées. On a utilisé le Base de données sur les congés des patients (BDCP) et le Système nationale d’information sur la réadaptation (SNIR). Les résultats ont montré que les personnes plus âgées atteintes d’un traumatisme cranio-cérébrale (TCC) présentaient un niveau d’indépendence fonctionelle plus élevé que celles sans TCC à l’admission et à la sortie. Cependant, les deux groupes ont faits des gains importants (p = .001) et similaires (p > .05). Nous concluons que les personnes âgées avec TCC et nTCC font des gains similaires de réadaptation en milieu hospitalier. L’incapacité fonctionnelle initiale plus faible des patients nTCC à l’admission et les profils cliniques différents offrent des implications pour la répartition des soins et des ressources cliniques.

Keywords

vieillissmentlésion cérébrale acquiserésultats fonctionnelsréadaptationagingacquired brain injuryfunctional outcomesrehabilitation
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 3 , September 2013 , pp. 278 - 286
Copyright
Copyright © Canadian Association on Gerontology 2013 

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Footnotes

*

Funding for this study was obtained from the Ontario Neurotrauma Foundation (#2010-ABI-TRAJECT-869), the Toronto Rehabilitation Institute-University Health Network (TRI-UHN), and a grant from the Ministry of Health and Long-Term Care (MOHLTC) to the TRI-UHN. Dr. Colantonio received support through the Saunderson Family Chair in Acquired Brain Injury Research and through the Canadian Institutes of Health Research Chair in Gender, Work and Health (#CGW-126580). Vincy Chan received support from the Jane Gillett Pediatric ABI Studentship through the Ontario Neurotrauma Foundation, the Doctoral Research Award from the Canadian Institutes of Health Research and Pediatric Oncology Group of Ontario, and a Brain Canada-CIBC Brain Cancer Training Award from Brain Canada and CIBC. We thank the MOHLTC for providing us with data, the Canadian Institute for Health Information for advice on data quality and variables, and the Toronto Rehabilitation Institute Foundation.

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