Decompressive Craniectomy: Early Rehabilitation Outcome Six Months After Severe Brain Injury

被引：0

作者：

Lippert-Gruener, Marcela ^{[1
,2
]}

Wedekind, Christoph ^{[2
,3
]}

机构：

[1] FNKV, UK, 3LF, Prague, Czech Republic

[2] ANR Bonn, Neurol Rehabil, Graurheindorferstr 149a, D-53117 Bonn, Germany

[3] SozialStiftung Bamberg, Neurol Rehabil, Bamberg, Germany

来源：

PHYSIKALISCHE MEDIZIN REHABILITATIONSMEDIZIN KURORTMEDIZIN | 2018年 / 28卷 / 05期

关键词：

traumatic brain injury (TBI); craniektomie; early rehabilitation; outcomes; TRAUMA; PROGNOSIS;

D O I：

10.1055/a-0684-9927

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Purpose To evaluate the impact on patients' outcome of decompressive craniectomy with duraplasty in case of increased intracranial pressure after severe traumatic brain injury. Materials and Methods Outcome was measured by GOS, Barthel index, and Functional Independence Measure (FIM). In addition, professional ability and the need for care were evaluated. A total of 15 cases after severe traumatic brain injury were included. Endpoint of follow-up was at 6 months after injury. Results Overall outcome was unfavourable, mean Barthel index was 46.5 (range 0-100), mean FIM score 67.5 (18-126). Only 3 cases reached a condition completely independent of care. None of the patients regained professional ability. Conclusions Despite treatment with decompressive craniectomy, overall outcome in severe traumatic brain injury remains unfavourable.

引用

页码：287 / 290

页数：4

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