Rehabilitation outcome after traumatic brain injury
Resultados de la rehabilitacion despues de sufrir un traumatismo craneoencefálico
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Fandino, A.R. Fathi, T. Graupner, S. Jacob, H. Landolt" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Fandino" ] 1 => array:2 [ "nombre" => "A.R." "apellidos" => "Fathi" ] 2 => array:2 [ "nombre" => "T." "apellidos" => "Graupner" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Jacob" ] 4 => array:2 [ "nombre" => "H." "apellidos" => "Landolt" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147307703044?idApp=UINPBA00004B" "url" => "/11301473/0000001800000001/v1_201305151301/S1130147307703044/v1_201305151301/es/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "titulo" => "Rehabilitation outcome after traumatic brain injury" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "5" "paginaFinal" => "15" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "J. Irdesel, S.B. Aydiner" "autores" => array:2 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Irdesel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "S.B." "apellidos" => "Aydiner" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Depart. of Physical Medicine & Rehabilitation. Uludag University. School of Medicine. Bursa. Turkey" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding Author: Uludag University. School of Medicine. Department of Physical Medicine & Rehabilitation. 16059 Gorukle. Bursa. Turkey." ] ] ] 1 => array:3 [ "autoresLista" => "S. Akgoz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Akgoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Depart. of Biostatistics. Uludag University. School of Medicine. Bursa. Turkey" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados de la rehabilitacion despues de sufrir un traumatismo craneoencefálico" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-08-19" "fechaAceptado" => "2006-01-03" "PalabrasClave" => array:2 [ "en" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec159492" "palabras" => array:3 [ 0 => "Traumatic brain injury" 1 => "Rehabilitation" 2 => "Complication" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abreviaturas" "identificador" => "xpalclavsec159493" "palabras" => array:11 [ 0 => "CT" 1 => "DRS" 2 => "DVT" 3 => "FIM" 4 => "GCS" 5 => "HO" 6 => "ICU" 7 => "LOS" 8 => "RLA" 9 => "ROM" 10 => "TBI" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec159491" "palabras" => array:3 [ 0 => "Traumatismo craneoencefálico" 1 => "Rehabilitación" 2 => "Complicación" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rehabilitation goals after traumatic brain injury are improving function, increasing the level of independence as high as possible, preventing complications and providing an acceptable environment to the patient. Several complications can be encountered during the rehabilitation period which lead to physical, cognitive and neurobehavioral impairments that cause major delay in functional improvement. This prospective study was designed in order to investigate the complications and their relations with functional recovery in patients that were included in the acute phase of a rehabilitation program.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Thirty traumatic brain injured patients admitted to the Intensive Care Units of Uludag University School of Medicine were included in the study. Rehabilitation program consisted in appropriate positioning, range of motion exercises, postural drainage and respiratory exercises. Complications that were encountered during intensive care rehabilitation program were recorded. All patients were evaluated by Functional Independence Measure, Disability Rating Scale and Ranchos Los Amigos Levels of Cognitive Function Scale at admission and discharge.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Improvement was observed in patients in terms of functional outcome and disability levels. Pneumonia, athelectasis, anemia and meningitis were the most frequent complications. Deterioration in functional outcome and disability levels was noted as the number of these complications increased.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In conclusion, rehabilitation has an important role in the management of traumatic brain injured patients. Reduction of frequency of complications and improvement in functional outcome and disability levels can be achieved through rehabilitation programs. Long-term controlled studies with large number of patients are needed in order to obtain accurate data on factors associated with rehabilitation outcomes.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Entre los objetivos de la rehabilitación después de un traumatismo craneoencefálico está la mejoría de la función cerebral el aumento del grado de independencia la prevención de complicaciones y la obtención de un ambiente acceptable para el paciente. Durante el período de la rehabilitación pueden producirse varias complicaciones que conducen a discapacidades físicas, cognitivas y otras neurológicas que causan un importante retraso en la mejoría funcional. Este estudio ha sido diseñado para investigar las complicaciones observadas en los pacientes que se incluyeron en un programa de rehabilitación en fase aguda, sus relaciones con el estado funcional y los factores que tienen impacto en los resultados de la rehabilitación.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se incluyen en el estudio treinta pacientes con traumatismo craneoencefálico admitidos en la Unidad de Cuidados Intensivos de la Escuela de Medicina de la Universidad de Uludag. El programa de rehabilitación consistió en rehabilitación postural, una serie de ejercicios de movimiento, y ejercicios respiratorios. Se registraron las complicaciones que se encontraron durante el programa de rehabilitación de cuidados intensivos. Todos los pacientes fueron evaluados por una Medida de Independencia Funcional, por el grado de invalidez y mediante los niveles de función cognitiva de la Escala Rancho Los Amigos tras la admisión, y en el momento del alta.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La mejoria se observó en los pacientes en términos de resultados funcionales y niveles de invalidez. Las complicaciones más frecuentes fueron la neumonía, atelectasia, anemia y meningitis. Se observó una disminución en los niveles de los resultados funcionales y de invalidez a medida que aumentó el número de complicaciones.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">En conclusión, la rehabilitación tiene un papel principal en la recuperación de pacientes con traumatismo craneoencefálico. La reducción de la incidencia de complicaciones y la mejora de los niveles de los resultados funcionales y de invalidez se pueden lograr con programas de rehabilitación. Estudios controlados a largo plazo con un gran número de pacientes son necesarios para obtener datos exactos sobre los factores asociados a los resultados de la rehabilitación.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Irdesel. J.; Aydiner, S.B.; Akgoz, S.: Rehabilitation outcome after traumatic brain injury. Neurocirugía 2007; 18: 5–15.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:47 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Predictors of mortality in severely head-injured patients with civilian gunshot wounds: a report from the NIH Traumatic Coma Bank" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E.F. Aldrich" 1 => "H.M. Eisenberg" 2 => "C. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 2 | 2 | 4 |
| 2018 Febrero | 5 | 4 | 9 |
| 2018 Enero | 17 | 10 | 27 |
| 2017 Diciembre | 14 | 8 | 22 |
| 2017 Noviembre | 41 | 30 | 71 |
| 2017 Octubre | 12 | 14 | 26 |
| 2017 Septiembre | 12 | 13 | 25 |
| 2017 Agosto | 8 | 9 | 17 |
| 2017 Julio | 14 | 5 | 19 |
| 2017 Junio | 20 | 7 | 27 |
| 2017 Mayo | 21 | 17 | 38 |
| 2017 Abril | 13 | 9 | 22 |
| 2017 Marzo | 16 | 3 | 19 |
| 2017 Febrero | 8 | 1 | 9 |
| 2017 Enero | 14 | 7 | 21 |
| 2016 Diciembre | 40 | 9 | 49 |
| 2016 Noviembre | 36 | 9 | 45 |
| 2016 Octubre | 51 | 12 | 63 |
| 2016 Septiembre | 30 | 13 | 43 |
| 2016 Agosto | 0 | 16 | 16 |
| 2016 Julio | 0 | 8 | 8 |
| 2016 Marzo | 2 | 0 | 2 |
| 2015 Diciembre | 4 | 0 | 4 |
| 2015 Agosto | 2 | 9 | 11 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 18 | 5 | 23 |
| 2015 Mayo | 24 | 13 | 37 |
| 2015 Abril | 21 | 8 | 29 |
| 2015 Marzo | 20 | 7 | 27 |
| 2015 Febrero | 21 | 5 | 26 |
| 2015 Enero | 11 | 8 | 19 |
| 2014 Diciembre | 17 | 12 | 29 |
| 2014 Noviembre | 13 | 8 | 21 |
| 2014 Octubre | 20 | 10 | 30 |
| 2014 Septiembre | 16 | 11 | 27 |
| 2014 Agosto | 21 | 14 | 35 |
| 2014 Julio | 18 | 15 | 33 |
| 2014 Junio | 30 | 17 | 47 |
| 2014 Mayo | 30 | 22 | 52 |
| 2014 Abril | 27 | 9 | 36 |
| 2014 Marzo | 25 | 16 | 41 |
| 2014 Febrero | 18 | 15 | 33 |
| 2014 Enero | 22 | 7 | 29 |
| 2013 Diciembre | 25 | 9 | 34 |
| 2013 Noviembre | 23 | 14 | 37 |
| 2013 Octubre | 45 | 17 | 62 |
| 2013 Septiembre | 72 | 19 | 91 |
| 2013 Agosto | 31 | 25 | 56 |
| 2013 Julio | 37 | 29 | 66 |
| 2013 Junio | 23 | 37 | 60 |
| 2013 Mayo | 19 | 27 | 46 |
| 2013 Abril | 17 | 37 | 54 |
| 2013 Marzo | 29 | 20 | 49 |
| 2013 Febrero | 24 | 37 | 61 |
| 2013 Enero | 22 | 24 | 46 |
| 2012 Diciembre | 20 | 37 | 57 |
| 2012 Noviembre | 2 | 6 | 8 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 7 | 0 | 7 |
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