Volume 2010, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426


To analyze the factors influencing outcome in Traumatic Brain Injury (TBI) rehabilitation in Qatar medical records, we reviewed 50 patients with TBI who were seen between January 2004 and Sep 2007 in the Rehabilitation Unit of Rumailah Hospital (RH), Hamad Medical Corporation. Demographic and clinical variables included age at admission, length of stay in acute care (LOSa), length of stay in rehabilitation (LOSr), Rancho Level (RLA), Glasgow Coma Scale (GCS). Functional Outcomes were functional independence measure on admission (FIMa) and functional independence measure on discharge (FIMd).

There was a significant positive correlation of FIMd with FIMa and Rancho level (r = 0.69, p = 0.00 and r = 0.70, p = 0.00) respectively, where there was no correlation between FIMd and GCS score. Negative correlation was observed between FIMd and age as well as LOSa (r = − 0.47, p = 0.01) and (r = − 0.49, p = 0.00) respectively. Multivariate regression analysis was performed taking age, Rancho, FIMa, mobility, GCS and LOSa variables as independent and FIMd as the dependent variable. The model could explain 70% of variation.

It was concluded that the Rancho level of cognitive functioning, FIMa and mobility variables were the most influential factors in determining the functional outcome.


Article metrics loading...

Loading full text...

Full text loading...


  1. Salman A-J, Aljaber K, Farid S, Qatart Child Health Survey . Official publication of the State of Qatar. : Ministry of Health 1991.
    [Google Scholar]
  2. Prigatano GP, Klonoff PS, O'Brian KP, et al., Productivity after neuropsychologically oriented milieu rehabilitation. J Head Trauma Rehabil. 1994; 9::91102.
    [Google Scholar]
  3. Groswasser A, Cohen M, Costeff H. Rehabilitation outcome after anoxic brain damage. Arch Phys Med Rehabil. 1989; 70::186188.
    [Google Scholar]
  4. Frankle JE, MarwitzJH, Cifu DX, KreutzerJS, Englander J, and Rosenthal M. A follow-up study of older adults with traumatic brain injury: taking into account decreasing length of stay
  5. Cowen TD, Meythaler JM, DeVivo MJ, Lvie CS III, Lebow J, Novack TA. Influence of early variables in traumatic brain injury on functional independence measure scores and rehabilitation length of stay and charges. Arch Phys Med Rehabil. 1995 Sep; 76:9:797803.
    [Google Scholar]
  6. Aras Meltem Dalyan, Kaya Ayse, Cake Aytul [Latin dotless i], Gokkaya Kutay Ordu. Functional outcome following traumatic brain injury: The Turkish experience. International Journal of Rehabilitation Research. December 2004; 27:4:257260.
    [Google Scholar]
  7. Fiedler RC, Granger CV. The uniform data system for Medical Rehabilitation; Repot of first admission to sub acute rehabilitation for 1998. Am J Phys Med Rehabil. 2000 Jan/Feb; 79:1:8792.
    [Google Scholar]
  8. JHH-FACS GUIDE BOOKLET (www.acutept.o).
  9. Hagen C, Malkmus D, Durham P. Levels of cognitive functioning. Downey (CA): Rancho Los Amigos Hospital 1972.
    [Google Scholar]
  10. www.sign.ac.uk/guidelines/fulltext/65/index.html
  11. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974; 2:7872:8184.
    [Google Scholar]
  12. Benner A, Kamran S. Association between stroke and acute Myocardial Infarction and its related risk factors hypertension and diabetes. Anadolu kardiyoloji dergisi. (Anatolian journal of cardiology). 2006 Mar; 6:1:2427.
    [Google Scholar]
  13. NIH,1998; Rehabilitation of Persons with Traumatic Brain Injury National Institutes of Health Consensus Development Conference Statement October 26-28, 1998
  14. High WM Jr, Boake C, Lehmkuhl LD. Critical analysis of studies evaluating the effectiveness of rehabilitation after traumatic head injury. J Head Trauma Rehabil. 1995; 10:1:1426.
    [Google Scholar]
  15. Vollmer DG, Tomer JC, Jane JA, et al., Age and outcome following traumatic coma: Why do older patients fare worse? J Neurosurg. 1991; 75:Suppl:S37S49.
    [Google Scholar]
  16. Waxman K, Sundine MJ, Young RF. Is early prediction of outcome in severe head injury possible? Arch Surg. 1991; 126:10:12371241, ; discussion 1242.
    [Google Scholar]
  17. Whitlock JA Jr., Hamilton BB. Functional outcome after rehabilitation for severe traumatic brain injury. Archives of Physical Medicine and Rehabilitation. 1995; 76:12:11031112.
    [Google Scholar]
  18. Brooks N, McKinlay W, Symington C, et al., Return to work within the first seven years of severe head injury. Brain Inj. 1987; 1:1:519.
    [Google Scholar]
  19. Kadyan V. Gender differences in agitation after traumatic brain injury. Am J Phys Med Rehabil. 2004 Oct; 83:10:747752.
    [Google Scholar]
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error