4.7 Article

Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe: Results from the CENTER-TBI Study

期刊

JOURNAL OF CLINICAL MEDICINE
卷 10, 期 5, 页码 -

出版社

MDPI
DOI: 10.3390/jcm10051035

关键词

rehabilitation needs; traumatic brain injury; disability; outcome

资金

  1. European Union 7th Framework program (EC) [247 602150]
  2. Hannelore Kohl Stiftung (Germany)
  3. OneMind (USA)
  4. Integra LifeSciences Corporation (USA)
  5. Elizabeth Casson Trust
  6. NIHR Oxford Health Biomedical Research Centre

向作者/读者索取更多资源

This study aimed to assess rehabilitation needs and services for individuals with moderate-to-severe disability after traumatic brain injury. The study found that severity of brain injury, physical and cognitive impairments increased the likelihood of receiving rehabilitation, while psychological problems decreased it.
This study aims to assess rehabilitation needs and provision of rehabilitation services for individuals with moderate-to-severe disability and investigate factors influencing the probability of receiving rehabilitation within six months after traumatic brain injury (TBI). Overall, the analyses included 1206 individuals enrolled in the CENTER-TBI study with severe-to-moderate disability. Impairments in five outcome domains (daily life activities, physical, cognition, speech/language, and psychological) and the use of respective rehabilitation services (occupational therapy, physiotherapy, cognitive and speech therapies, and psychological counselling) were recorded. Sociodemographic and injury-related factors were used to investigate the probability of receiving rehabilitation. Physiotherapy was the most frequently provided rehabilitation service, followed by speech and occupational therapy. Psychological counselling was the least frequently accessed service. The probability of receiving a rehabilitative intervention increased for individuals with greater brain injury severity (odds ratio (OR) 1.75, CI 95%: 1.27-2.42), physical (OR 1.92, CI 95%: 1.21-3.05) and cognitive problems (OR 4.00, CI 95%: 2.34-6.83) but decreased for individuals reporting psychological problems (OR 0.57, CI 95%: 1.21-3.05). The study results emphasize the need for more extensive prescription of rehabilitation services for individuals with disability. Moreover, targeted rehabilitation programs, which aim to improve outcomes, should specifically involve psychological services to meet the needs of individuals recovering from TBI.

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