ArticleRevista da Associacao Medica Brasileira (1992)2026
Inpatient rehabilitation outcomes in acquired brain injury: a retrospective study.
Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe objective of this study was to describe the demographic, clinical, cognitive, and functional characteristics of acquired brain injury patients, analyze complications, and evaluate inpatient rehabilitation outcomes.
methodsRetrospective review of 50 acquired brain injury patients undergoing multidisciplinary inpatient rehabilitation (2019-2024). Glasgow Coma Scale, post-traumatic amnesia, cognitive scales (Mini-Mental State Examination, Montreal Cognitive Assessment, Rancho Los Amigos), Functional Ambulation Scale, and complications were assessed.
resultsTraumatic etiology comprised 76% of cases; 72% were severe (Glasgow Coma Scale 3-8). Prolonged post-traumatic amnesia (>24 h) was significantly associated with severe injury (p<0.001). Spasticity (64%), contractures (42%), speech disorders (42%), and dysphagia (34%) were most prevalent. Functional Ambulation Scale score 0 decreased from 58 to 42% post-rehabilitation; Functional Ambulation Scale 3-5 increased from 24 to 46% (Wilcoxon signed-rank test, p<0.001).
conclusionStructured multidisciplinary rehabilitation was associated with measurable functional gains in acquired brain injury patients despite severe deficits and frequent complications; however, the absence of a control group precludes causal conclusions.
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