Abstract:
OBJECTIVE:To assess the impact of early mobilization and rehabilitation on global functional outcome one year after aneurysmal subarachnoid haemorrhage. METHODS:Prospective, controlled, interventional study comprising patients managed in the neuro-intermediate ward following repair of a ruptured intracranial aneurysm. Patients in the Control group (n = 76) received standard treatment, whereas those in the Early Rehab group (n = 92) in addition underwent early mobilization and rehabilitation. Demographic, clinical and intervention data were registered. Global functional outcome was assessed using the modified Rankin Scale and the Glasgow Outcome Scale Extended. RESULTS:The 2 groups were similar in their demographic and clinical characteristics. Early Rehab group patients were mobilized more quickly (p < 0.001), median 1.4 days (range 0-23 days) after aneurysm repair. After 1 year, 47% of the patients had made a good recovery, whereas 6.5% had died. Regression analysis did not reveal any significant effect of early rehabilitation on functional outcome. However, in poor-grade patients, early rehabilitation more than doubled the chance of a favourable outcome (adjusted odds ratio = 2.33; confidence interval 1.04-5.2, p = 0.039). CONCLUSION:Early mobilization and rehabilitation probably increases the chance of a good functional outcome in poor-grade aneurysmal subarachnoid haemorrhage patients.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Karic T,Røe C,Nordenmark TH,Becker F,Sorteberg Adoi
10.2340/16501977-2121subject
Has Abstractpub_date
2016-10-05 00:00:00pages
676-682issue
8eissn
1650-1977issn
1651-2081journal_volume
48pub_type
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journal_title:Journal of rehabilitation medicine
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更新日期:2015-06-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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更新日期:2009-06-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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更新日期:2019-09-03 00:00:00
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更新日期:2008-02-01 00:00:00
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更新日期:2008-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-07-07 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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更新日期:2002-09-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2003-05-01 00:00:00
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更新日期:2010-04-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2008-04-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2017-03-06 00:00:00
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更新日期:2015-09-01 00:00:00
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更新日期:2016-01-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2011-07-01 00:00:00