array:22 [ "pii" => "S1130147307703032" "issn" => "11301473" "doi" => "10.1016/S1130-1473(07)70303-2" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "70303" "copyright" => "Sociedad Española de Neurocirugía" "copyrightAnyo" => "2007" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2007;18:5-15" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1928 "formatos" => array:3 [ "EPUB" => 23 "HTML" => 1150 "PDF" => 755 ] ] "itemSiguiente" => array:18 [ "pii" => "S1130147307703044" "issn" => "11301473" "doi" => "10.1016/S1130-1473(07)70304-4" "estado" => "S300" "fechaPublicacion" => "2007-01-01" "aid" => "70304" "copyright" => "Sociedad Española de Neurocirugía" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Neurocirugia. 2007;18:16-27" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1938 "formatos" => array:3 [ "EPUB" => 17 "HTML" => 1226 "PDF" => 695 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Perspectivas en el tratamiento del vasospasmo cerebral inducido por hemorragia subaracnoidea" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "16" "paginaFinal" => "27" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Perspectives in the treatment of subarachnoid-hemorrhage-induced cerebral vasospasm" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. 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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