Unmet Rehabilitation Needs After Traumatic Brain Injury Across Europe: Results from the CENTER-TBI Study

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Apr 3

PMID 33802336

Citations 28

Authors

Nada Andelic

Cecilie Roe

Olli Tenovuo

Philippe Azouvi

Helen Dawes

Marek Majdan

Jukka Ranta

Emilie I Howe

Eveline J A Wiegers

Cathrine Tverdal

Ida Borgen

Marit V Forslund

Ingerid Kleffelgaard

Hilde M Dahl

Louis Jacob

Melanie Cogne

Juan Lu

Nicole von Steinbuechel

Marina Zeldovich

Affiliations

Soon will be listed here.

Abstract

This study aims to assess rehabilitation needs and provision of rehabilitation services for individuals with moderate-to-severe disability and investigate factors influencing the probability of receiving rehabilitation within six months after traumatic brain injury (TBI). Overall, the analyses included 1206 individuals enrolled in the CENTER-TBI study with severe-to-moderate disability. Impairments in five outcome domains (daily life activities, physical, cognition, speech/language, and psychological) and the use of respective rehabilitation services (occupational therapy, physiotherapy, cognitive and speech therapies, and psychological counselling) were recorded. Sociodemographic and injury-related factors were used to investigate the probability of receiving rehabilitation. Physiotherapy was the most frequently provided rehabilitation service, followed by speech and occupational therapy. Psychological counselling was the least frequently accessed service. The probability of receiving a rehabilitative intervention increased for individuals with greater brain injury severity (odds ratio (OR) 1.75, CI 95%: 1.27-2.42), physical (OR 1.92, CI 95%: 1.21-3.05) and cognitive problems (OR 4.00, CI 95%: 2.34-6.83) but decreased for individuals reporting psychological problems (OR 0.57, CI 95%: 1.21-3.05). The study results emphasize the need for more extensive prescription of rehabilitation services for individuals with disability. Moreover, targeted rehabilitation programs, which aim to improve outcomes, should specifically involve psychological services to meet the needs of individuals recovering from TBI.

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