Table 4.
Events and Patient Characteristics during Rehabilitation by Admission FIM Cognitive Score Subgroup
| Characteristics | Admission FIM Cognitive Score* | ||||||
|---|---|---|---|---|---|---|---|
| Overall (n=2130) | <=6 (n=339) | 7–10 (n=374) | 11–15 (n=495) | 16–20 (n=408) | >=21 (n=504) | P | |
| Severity information | |||||||
| Maximum brain injury component of CSI score (mean, SD) | 48.4 (24.8) | 77.2 (18.3) | 66.8 (16.6) | 50.8 (15.6) | 36.1 (13.3) | 22 (10.2) | <.001 † |
| Maximum non-brain injury component of CSI score (mean, SD) | 24.8 (20.9) | 30.6 (23.5) | 30.7 (21.7) | 25.8 (20.7) | 22.7 (20.3) | 16.8 (15.4) | <.001 † |
| Moderate/severe dysphagia (%) | 54.0 | 90.0 | 76.2 | 56.8 | 37.0 | 23.6 | <.001 ‡ |
| Moderate/severe aphasia (%) | 47.8 | 76.4 | 69.3 | 50.9 | 38.7 | 16.5 | <.001 ‡ |
| Moderate/severe ataxia (%) | 15.9 | 23.6 | 21.7 | 17.2 | 13.2 | 6.5 | <.001 ‡ |
| Days from injury to clearing PTA (mean, SD) | 37.6 (42.7) | 70.7 (54.4) | 56.4 (45.9) | 35.6 (36.1) | 19.9 (23.1) | 10.6 (14.0) | <.001 ‡ |
| Time of PTA clearance (%) | <.001 ‡ | ||||||
| Prior to rehabilitation | 42.2 | 2.1 | 8.3 | 27.9 | 66.2 | 89.1 | |
| During rehabilitation | 34.3 | 44.5 | 48.4 | 49.7 | 26.2 | 8.3 | |
| After rehabilitation discharge | 23.5 | 53.4 | 43.3 | 22.4 | 7.6 | 2.6 | |
| Days from rehabilitation admission to clearing PTA (for patients who cleared PTA during rehabilitation) | 15.6 (13.5) | 25.2 (16.9) | 17.9 (13.7) | 12.4 (9.9) | 8.9 (7.2) | 7.4 (5.0) | <.001 ‡ |
| Pain, agitation, and falls | |||||||
| Pain (mean, SD) | |||||||
| Percent of days with pain score >=1 | 38.3 (32.8) | 26.2 (23.8) | 32.2 (27.8) | 39.3 (32.6) | 43.3 (34.7) | 45.6 (36.9) | <.001 ‡ |
| Percent of days with pain score >=3 | 32.9 (32.6) | 18.6 (21.2) | 26.8 (27.1) | 35.0 (32.2) | 39.3 (34.7) | 39.8 (37.4) | <.001 ‡ |
| Percent of days with pain score >=5 | 27.9 (30.9) | 14.1 (18.3) | 21.7 (24.9) | 30.2 (30.5) | 34.3 (33.4) | 34.3 (35.8) | <.001 ‡ |
| Percent of days with pain score >=7 | 17.2 (25.3) | 7.0 (12.5) | 11.5 (18.3) | 18.1 (24.1) | 24.2 (30.2) | 21.6 (29.8) | <.001 ‡ |
| Average high pain score § | 4.6 (2.8) | 4.0 (2.7) | 4.6 (2.6) | 5.0 (2.6) | 5.1 (3.0) | 4.3 (3.1) | <.001 ‡ |
| Percent of rehabilition days agitated (mean, SD)|| | 8.9 (19.4) | 18.8 (25.2) | 15.9 (25.1) | 8.5 (17.8) | 4.1 (12.9) | 1.2 (7.2) | <.001 ‡ |
| Average of three highest ABS scores (mean, SD) | 21.8 (8.5) | 27 (9.8) | 25.6 (9.5) | 22.6 (7.8) | 19.2 (6.2) | 16.6 (4.0) | <.001 ‡ |
| Fall (%) | 6.5 | 11.8 | 9.4 | 6.1 | 4.4 | 3.2 | <.001 ‡ |
| Number of falls (mean, SD)¶ | 1.2 (0.6) | 1.3 (0.6) | 1.2 (0.6) | 1.1 (0.3) | 1.4 (1.0) | 1.0 (0.0) | 0.147 † |
| Fall with injury (%) | 2.0 | 3.2 | 3.7 | 1.2 | 1.5 | 1.2 | 0.016 ‡ |
| Number of falls with injury (mean, SD)¶ | 1.1 (0.3) | 1.1 (0.3) | 1.2 (0.4) | 1.0 (0.0) | 1.0 (0.0) | 1.0 (0.0) | 0.394 † |
NOTE: Abbreviations: CSI, Comprehensive Severity Index; PTA, Post traumatic amnesia; ABS, agitated behavior scale;
*
n=10 patients missing admission FIM cognitive score.
†
Analysis of variance test.
‡
Chi-Square analysis.
§
Average of highest of 3 daily pain scores over rehabilitation stay.
||
Percent of rehabilition days agitated, starting with the beginning of the first bout to the end of the last bout, interruptions between bouts excluded.
¶
Data include only patients who fell.