Impact of early mobilization and rehabilitation on global functional outcome one year after aneurysmal subarachnoid hemorrhage.

Authors

  • Tanja Karic
  • Cecilie Røe
  • Tonje Haug Nordenmark
  • Frank Becker
  • Angelika Sorteberg

DOI:

https://doi.org/10.2340/16501977-2121

Keywords:

early rehabilitation, mobilization, functional outcome, subarachnoid haemorrhage.

Abstract

OBJECTIVE: To assess the impact of early mobilization and rehabilitation on global functional outcome one year after aneurysmal subarachnoid haemorrhage. METHODS: Prospective, controlled, interventional study comprising patients managed in the neuro-intermediate ward following repair of a ruptured intracranial aneurysm. Patients in the Control group (n = 76) received standard treatment, whereas those in the Early Rehab group (n = 92) in addition underwent early mobilization and rehabilitation. Demographic, clinical and intervention data were registered. Global functional outcome was assessed using the modified Rankin Scale and the Glasgow Outcome Scale Extended. RESULTS: The 2 groups were similar in their demographic and clinical characteristics. Early Rehab group patients were mobilized more quickly (p < 0.001), median 1.4 days (range 0-23 days) after aneurysm repair. After 1 year, 47% of the patients had made a good recovery, whereas 6.5% had died. Regression analysis did not reveal any significant effect of early rehabilitation on functional outcome. However, in poor-grade patients, early rehabilitation more than doubled the chance of a favourable outcome (adjusted odds ratio = 2.33

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Published

2016-07-06

How to Cite

Karic, T., Røe, C., Haug Nordenmark, T., Becker, F., & Sorteberg, A. (2016). Impact of early mobilization and rehabilitation on global functional outcome one year after aneurysmal subarachnoid hemorrhage. Journal of Rehabilitation Medicine, 48(8), 676–682. https://doi.org/10.2340/16501977-2121

Issue

Section

Original Report