Rehabilitering af svaer traumatisk hjerneskade.
INTRODUCTION: In September 2000 the Brain Injury Unit at Hvidovre Hospital was established, offering subacute intensive rehabilitation to patients with severe traumatic brain injury. Uptake area: Eastern part of Denmark, the Faroe Islands and Greenland. Outcome 6 months after discharge is presented...
| Main Authors: | , |
|---|---|
| Format: | Article in Journal/Newspaper |
| Language: | Danish |
| Published: |
2007
|
| Subjects: | |
| Online Access: | https://curis.ku.dk/portal/da/publications/rehabilitering-af-svaer-traumatisk-hjerneskade(ab994c86-b05c-4e59-8469-0c40bb4ad72a).html http://www.ugeskriftet.dk/LF/UFL/2007/3/pdf/VP46299.pdf |
| Summary: | INTRODUCTION: In September 2000 the Brain Injury Unit at Hvidovre Hospital was established, offering subacute intensive rehabilitation to patients with severe traumatic brain injury. Uptake area: Eastern part of Denmark, the Faroe Islands and Greenland. Outcome 6 months after discharge is presented for patients from the first 2 years, focusing on disability and social factors. MATERIALS AND METHODS: Patients were selected on the basis of the Glasgow Coma Scale after end of sedation to ensure that the most severely-injured were included in the study. Rehabilitation was initiated immediately regardless of the level of consciousness. Patients were assessed using established rating-scales. Local social authorities were involved at discharge. RESULTS: Of 77 consecutive patients, 5 died before follow-up and 6 patients were not seen at follow up. 79% of the remaining group had post-traumatic amnesia lasting more than 4 weeks. Nonetheless, 4 out of 5 were able to walk independently, 79% were living at home under normal conditions and 76% were independent on a personal level. A majority suffered from cognitive dysfunctions, which was often the major remaining disability. 20% had resumed normal work or education. CONCLUSION: The centralisation of rehabilitation in Denmark after very severe brain damage made it possible to conduct a structured plan for treatment and assessment during subacute rehabilitation and 6 months after discharge of patients with very severe traumatic brain injury. This has demonstrated that rehabilitation of even the most severely brain-damaged patients can be valuable. Udgivelsesdato: 2007-Jan-15 |
|---|