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 poorgrade aneurysmal subarachnoid haemorrhage patients.
Document Type: Research Article
Publication date: September 1, 2016
Journal of Rehabilitation Medicine is the international peer-reviewed journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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