Abstract:
BACKGROUND:Systemic inflammation and its impact on rehabilitation for patients with non-traumatic haemorrhagic injury (HBI) sequelae has not yet been adequately documented. OBJECTIVE AND METHODS:We therefore considered 31 patients with HBI, to determine the serum levels of inflammatory markers (C-Reactive Protein, CRP and or interleukine-6, IL-6) to establish their impact on functional status (Functional Independence Measure, FIM: 18 indicating the worst performance and 126, a normal score). RESULTS:The results showed an inflammation prevalence (CRP >0.5 mg/dl and/or IL 6 >7 pg/ml) of 74.2% at admission to Rehab. FIM reduction was more pronounced in inflamed compared to non-inflamed subjects (p < 0.05) and significantly correlated with blood variables sensitive to inflammation, such as alpha 1 globulin (r = - 0.565) and neutrophil/ lymphocyte ratio (r = - 0.52), CRP (r = - 0.365). At discharge from Rehab, the inflammation rate diminished. Inflamed patients showed similar gains in FIM score as their controls. In the entire population, the FIM gain was significantly associated with a gain in serum albumin, only (r = +0.56). CONCLUSIONS:We conclude that systemic inflammation is prevalent in HBI patients and contributes to reduce patient functional status. However, during the Rehab stage, inflammation does not hinder the improvement rate of functional capacity.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Boselli M,Aquilani R,Maestri R,Achilli MP,Arrigoni N,Pasini E,Condino AM,Boschi F,Dossena M,Buonocore D,Verri Mdoi
10.3233/NRE-182362subject
Has Abstractpub_date
2018-04-07 00:00:00eissn
1053-8135issn
1878-6448pii
NRE182362pub_type
杂志文章abstract::Characteristics of motor recovery mechanisms are known to be linked with motor outcome in stroke. Detailed knowledge of motor outcome and recovery mechanisms in stroke allow for prediction of prognosis and provide the basis for establishment of scientific rehabilitation strategies. Thirteen previous studies with regar...
journal_title:NeuroRehabilitation
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pub_type: 杂志文章,meta分析,收录出版,评审
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