Functional outcomes following post-acute rehabilitation for moderate-to-severe traumatic brain injury

Objective: The objective of this study was to examine the benefits of long-term inpatient rehabilitation for individuals with moderate-to-severe traumatic brain injuries (TBIs).Methods: Retrospective database review of 67 individuals with moderate-to-severe TBI admitted to a specialised inpatient TBI program. Outcome measures are as follows: (1) functional independence measure + functional assessment measure (FIM+FAM; admission, discharge, change scores); (2) discharge designation (community vs. long-term care (LTC)).Results: There was a mean improvement on FIM+FAM of 54.19 points (SD=35.63) or 67% between admission and discharge (t(66)=-12.45, p<0.001). Mean time post-injury upon completion of therapy was 409.59days (SD=343.93). Upon completion of rehabilitation, 50 (75%) participants were discharged to community and 17 to LTC. Among those returning to community, those with longer length of stays were more severely disabled on admission (t(35.9)=-4.86, p<0.001). Controlling for admission functional status, individuals returning to community following >90days of therapy required a mean of 378.94days (SD=298.86) to achieve comparable gains to those less impaired who received shorter periods of rehabilitation (F(1)=0.530, p=0.47).Conclusion: Continued specialised inpatient services following acute inpatient rehabilitation for individuals with moderate-to-severe TBI can reduce the level of dependency and enhance the likelihood of return to community living.