Table 3. Association of Consciousness Level With Functional Outcome During Inpatient Rehabilitation.
| Outcome characteristic | All patients (n = 17 470), median (IQR) | Rehabilitation admission consciousness level, median (IQR)a | P value | |
|---|---|---|---|---|
| With DOC (n = 2058)b | Without DOC (n = 15 412)c | |||
| Rehabilitation admission | ||||
| FIM motor score | 34 (19 to 49) | 13 (13 to 19) | 38 (23 to 51) | <.001 |
| FIM cognitive score | 15 (8 to 21) | 5 (5 to 8) | 16 (10 to 22) | <.001 |
| FIM total score | 51 (30 to 69) | 19 (18 to 28) | 54 (36 to 70) | <.001 |
| Rehabilitation discharge | ||||
| FIM motor score | 69 (57 to 80) | 53 (25 to 68) | 70 (60 to 81) | <.001 |
| FIM cognitive score | 25 (20 to 29) | 17 (10 to 23) | 25 (21 to 29) | <.001 |
| FIM total score | 94 (79 to 107) | 71 (37 to 90) | 96 (82 to 108) | <.001 |
| Dependent, No./total No. (%)d | 4354/17 098 (25) | 1210/2013 (60) | 3144/15 085 (21) | <.001 |
| Semi-independent, No./total No. (%)e | 6058/17 098 (35) | 494/2013 (25) | 5564/15 085 (37) | |
| Independent, No./total No. (%)f | 6686/17 098 (39) | 309/2013 (15) | 6377/15 085 (42) | |
| Progression during rehabilitation | ||||
| Δ FIM total score, admission to discharge | +38 (+26 to +51) | +43 (+15 to +61) | +37 (+26 to +50) | .002 |
| PTA emergence, No./total No. (%) | 13 673/16 809 (81) | 882/1976 (45) | 12 791/14 833 (86) | <.001 |
Abbreviations: DOC, disorder of consciousness; DRS, Disability Rating Scale; FIM, Functional Independence Measure; IQR, interquartile range; PTA, posttraumatic amnesia.
a
Excluded 213 patients with no DRS motor score at inpatient admission.
b
With DOC defined as not following commands, or a DRS motor score >0 at inpatient admission.
c
DRS motor score of 0 at inpatient admission.
d
FIM total score of 18-79 indicated requiring professional assistance.
e
FIM total score of 80-99 indicated compatibility with home care by family members.
f
FIM total score of 100-126 indicated full independence.