Factors affecting functional outcomes of traumatic brain injury rehabilitation at a rehabilitation facility in Saudi Arabia

Ullah, Sami; Ayaz, Saeed Bin; Moukais, Imad Saeed; Qureshi, Ahmad Zaheer; Alumri, Talal; Wani, Tariq Ahmad; Aldajani, Adel Abdulaziz

doi:10.17712/nsj.2020.3.20190097

Cited by 8 publications

(8 citation statements)

References 38 publications

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“…This difference in age of the patients may be due to social norms. Our findings are similar with the results of Ullah S et al 5 in which majority of the patients with traumatic head injury were in young age group. Our study findings showed that males are mostly involved in road traffic accidents which are in agreement with results of Bhatti JA et al 6 in which most of the patients with head injury were males.…”

Section: Discussionsupporting

confidence: 93%

Early Decompressive Craniectomy: A Life Saving Option in Closed Head Trauma

Jalal¹,

Rehman²,

Farooq³

et al. 2021

PJMHS

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Aim: To determine outcome and factors associated with outcome among patients with closed head injury who underwent decompressive craniectomy. Methodology: Cross sectional analytical study conducted in Neurosurgery Department of teaching hospital Dera Ghazi Khan from January, 2021 to June, 2021. Total 105 patients fulfilling the inclusion criteria were enrolled in the study. Approval of ethical review committee was obtained. All the patients with closed head injury which underwent decompressive craniectomy were included. Socio demographic profile, mode of injury, Glasgow Coma Scale (GCS) at admission time, pupillary reaction and timing from hospital admission to surgery, duration of surgery, length of hospital stay and occurrence of CSF leakage was noted. SPSS version 22 was used for data entry and analysis. Results: Head injury was more common in males. 43.8% cases admitted with GCS score between 3-8 and with head injury by road traffic accident. Leakage of CSF was recorded in 13.3% patients. Mortality was recorded in 18.1% patients. GCS at time of admission, time elapsed between admission and surgery and duration of surgery was significantly associated with the outcome. Conclusion: Early decompressive craniectomy significantly reduce death rate in patients with closed head injury. Keywords: Craniectomy, Outcome, Glasgow coma scale

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Section: Discussionsupporting

confidence: 93%

Early Decompressive Craniectomy: A Life Saving Option in Closed Head Trauma

Jalal¹,

Rehman²,

Farooq³

et al. 2021

PJMHS

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“… 18 RTAs are the leading cause of TBI in Saudi Arabia. 6 Paralleling our local statistics, RTA was the main mechanism of injury in our report (49.7%), followed by falls (39.5%).…”

Section: Discussionsupporting

confidence: 85%

“…5 Incidence of TBI in Saudi Arabia has been estimated to be 116 per 1,00,000 population. 6 The global prevalence of TBI continues to peak in males reflecting the gender differences in social roles and behaviors. 5 TBI is one of the important causes of preventable deaths in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

“…5 TBI is one of the important causes of preventable deaths in Saudi Arabia. 6 It poses a serious problem for public health due to its high incidence rate, its associated economic burden, its high mortality rate, and disabling sequel. 5 Prognosis of patients with TBI varies; multiple studies attempted to identify predictors of outcome in these patients to guide preventive strategies and implement protective measure aiming to reduce the disease burden.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Brain Injury Cases' Mortality Predictors, Association, and Outcomes in the Emergency Department at a Tertiary Healthcare Center in Saudi Arabia

et al. 2022

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Aim Incidence of traumatic brain injury (TBI) in Saudi Arabia has been estimated to be 116 per 1,00,000 population as incidence of TBI continues to rise in our region. We aim to study the demographics, mortality predictors, and factors influencing the outcome of TBI cases in a tertiary care center in Jeddah, Saudi Arabia. Materials and Methods We retrospectively collected data from all consecutive patients treated at the Emergency Department of King Abdulaziz Medical City including all acute TBI adult cases (>18 years) from 2016 to 2019. Logistic regression models were used to identify significant predictors of mortality. A total of 423 individuals with TBI were enrolled in the study. Nearly, half of them were in age group of 18 to 29 (40.77). Most patients were males (76.83%). Results Injuries were most commonly mild-to-moderate TBI (73.83%). Road traffic accident was the most common mechanism of injury (49.7%) followed by fall (39.5%). Most common mode of transportation was private cars (47.57%). Most patient required less than or equal to24hours of admission (61.23%). A total of 30 (7%) died in the hospital all of which were male with no death cases reported among females. Conclusion In conclusion, this study reports a mortality rate related to TBI that is among the lowest in the region. Injuries were male predominant with more balanced male to female ratio. Patients who were delivered to the hospital via private cars had an improved survival. These finding should be interpreted in the context of retrospective noncontrolled study design, and further future studies are encouraged to consolidate these findings.

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“…[4] A study from KSA showed that the functional outcome of patients suffering from traumatic brain injury is affected by the severity of the disability at admission and the time between injury and admission. [5] Data is limited related to the outcome of neurorehabilitation amongst patients with Prolonged Disorders of Consciousness in the UAE. This study will shed light on the effects of Neurorehabilitation on the prognosis of patients with Prolonged Disorders of Consciousness for more than two years.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

Mohammed

Sharbatti

Nemmar

et al. 2023

Preprint

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Background: Less is known about the impact of Neurorehabilitation on patients with Prolonged Disorder of Consciousness. We assessed the Range of Motion, Muscle Girth and Power, Level of Consciousness, Development of Deformity, and Superficial Sensation. Methods: A record-based study was done, including the data of patients diagnosed with prolonged disorder of consciousness who were admitted at the Long-term Rehabilitation Center-Thumbay Hospital, Ajman UAE, between 2020-2022. Data on the “Range of Motion”, “Muscle Girth and Power”, “Level of Consciousness”, “Development of Deformity”, and “Superficial Sensation” were collected and analysed. SPSS software version 27 was used for analysis. The Chi-square test was used to assess association, and the t-test was used to test the mean difference. Results: We assessed the data of 21 patients with a prolonged disorder of consciousness. The Superficial sensation had a significant increment (p<0.025). There was a decrease in the proportion of patients with deformities during the follow-up period. The Range of Motion, Muscle Girth, and Muscle Power were also preserved without significant deterioration. However, the level of consciousness measured by the Glasgow Coma Scale (GCS) showed no improvement. Conclusions: Our research showed that neurorehabilitation has a significant impact on improving superficial sensation and in the prevention of the development of deformities. However, the mean level of consciousness remained the same. There was also no decrease in the Range of Motion. The Muscle girth and power both were preserved over the course of 2 years.

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Factors affecting functional outcomes of traumatic brain injury rehabilitation at a rehabilitation facility in Saudi Arabia

Abstract: Objectives: To identify the factors that affect disability after inpatient rehabilitation (IPR) in persons with traumatic brain injury (TBI).

Cited by 8 publications

References 38 publications

Early Decompressive Craniectomy: A Life Saving Option in Closed Head Trauma

Early Decompressive Craniectomy: A Life Saving Option in Closed Head Trauma

Traumatic Brain Injury Cases' Mortality Predictors, Association, and Outcomes in the Emergency Department at a Tertiary Healthcare Center in Saudi Arabia

Outcomes of Neurorehabilitation Amongst Patients with Prolonged Disorders of Consciousness

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