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Research ArticleOriginal Article
Open Access

Factors affecting functional outcomes of traumatic brain injury rehabilitation at a rehabilitation facility in Saudi Arabia

Sami Ullah, Saeed Bin Ayaz, Imad S. Moukais, Ahmad Z. Qureshi, Talal Alumri, Tariq A. Wani and Adel A. Aldajani
Neurosciences Journal July 2020, 25 (3) 169-175; DOI: https://doi.org/10.17712/nsj.2020.3.20190097
Sami Ullah
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBBS, FCPS (PMR)
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  • For correspondence: [email protected]
Saeed Bin Ayaz
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBBS, FCPS (PMR)
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Imad S. Moukais
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBBS, JBPMR
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Ahmad Z. Qureshi
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBBS, FCPS (PMR)
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Talal Alumri
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBBS
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Tariq A. Wani
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MSc
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Adel A. Aldajani
From the Department of Physical Medicine and Rehabilitation (Ullah, Moukais, Qureshi, Aldajani), and Department of Biostatistics (Wani), Research Services Administration, Research Center, King Fahad Medical City, from National Guard Hospital (Alumri), Riyadh, Kingdom of Saudi Arabia, and from the Department of Physical Medicine and Rehabilitation (Bin Ayaz), Combined Military Hospital Jhelum, Punjab, Pakistan.
MBChB, FAFRM (RACP)
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Article Figures & Data

Tables

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    Table 1

    Descriptive statistics for categorical variables (N=140)

    Categorical variablesn (%)
    Gender: Male/Female11/129 (8:92)
    Marital status
    Single101 (72.1)
    Married33 (23.6)
    Widowed6 (4.3)
    Educational level
    Illiterate3 (2.1)
    Primary school8 (5.7)
    Secondary school63 (45.0)
    Intermediate school12 (8.6)
    High school4 (2.9)
    College47 (33.6)
    Postgraduate degree3 (2.1)
    Occupation
    Student61 (43.6)
    Unemployed23 (16.4)
    Self employed19 (13.5)
    Security forces23 (16.4)
    Driver3 (2.1)
    Farmer1 (0.7)
    Teacher5 (3.6)
    House Wife5 (3.6)
    Cause of injury
    Assault1 (0.7)
    Fall2 (1.4)
    MVA133 (95.0)
    Other4 (2.9)
    Body site affected
    Tetraplegia100 (71.4)
    Left Hemiplegia26 (18.6)
    Right Hemiplegia11 (7.9)
    Paraplegia3 (2.1)
    • MVA–Motor vehicle accident

    • View popup
    Table 2

    Comorbidities and complications associated with traumatic brain injury in 140 patients

    Comorbidities and complicationsn (%)
    Comorbidities
    Diabetes mellitus3 (2.1)
    Respiratory disease10 (7.1)
    Chronic Kidney Disease5 (3.6)
    Hypertension6 (4.3)
    Heart Disease3 (2.1)
    Complications
    Fractures other than the skull101 (72.1)
    Seizures40 (28.5)
    Dysautonomia3 (2.1)
    Heterotopic ossification48 (34.3)
    Cranial nerve involvement60 (42.9)
    Contractures71 (50.7)
    Deep vein thrombosis3 (2.1)
    Pulmonary embolism4 (2.9)
    Movement disorder3 (2.1)
    Mental disorders82 (59.9)
    Pressure ulcer23 (16.4)
    Associated spinal cord injury4 (2.9)
    • View popup
    Table 3

    Correlations of different factors with Functional Independence Measure (FIM) scores and change (n=140).

    VariablesFIM at admissionFIM at dischargeFIM Change
    r***P-valuerP-valuerP-value
    Age−0.2440.004−0.330<0.001−0.1400.100
    Gender0.0570.5070.0270.757−0.0420.628
    Employment status0.1840.0290.2520.0030.1150.178
    Education level−0.0440.604−0.0440.6090.0030.973
    Occupation0.1070.2060.1580.0630.0730.393
    Marital status0.1500.0760.1820.0320.0520.545
    Cause of injury0.0700.4120.1040.2210.0610.478
    Body site affected−0.292<0.001−0.318<0.001−0.0740.384
    Initial GCS score in the emergency department0.1180.1660.1280.1300.0240.780
    Coma duration in days−0.340<0.001−0.340<0.001−0.0280.740
    Time from injury to admission in days−0.1010.234−0.2530.003−0.2500.003
    Length of stay in days−0.589<0.001−0.622<0.001−0.1000.242
    FIM at admission1-0.791<0.001−0.2530.003
    FIM at discharge0.791<0.0011-0.390<0.001
    FIM change−0.2530.0030.390<0.0011-
    • ↵* correlation coefficient

    • ↵** p-value

    • FIM - Functional Independence Measure

    • GCS - Glasgow coma scale

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Neurosciences Journal: 25 (3)
Neurosciences Journal
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1 Jul 2020
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Factors affecting functional outcomes of traumatic brain injury rehabilitation at a rehabilitation facility in Saudi Arabia
Sami Ullah, Saeed Bin Ayaz, Imad S. Moukais, Ahmad Z. Qureshi, Talal Alumri, Tariq A. Wani, Adel A. Aldajani
Neurosciences Journal Jul 2020, 25 (3) 169-175; DOI: 10.17712/nsj.2020.3.20190097

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Factors affecting functional outcomes of traumatic brain injury rehabilitation at a rehabilitation facility in Saudi Arabia
Sami Ullah, Saeed Bin Ayaz, Imad S. Moukais, Ahmad Z. Qureshi, Talal Alumri, Tariq A. Wani, Adel A. Aldajani
Neurosciences Journal Jul 2020, 25 (3) 169-175; DOI: 10.17712/nsj.2020.3.20190097
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