This study examined a population-based profile of older adults with acquired brain injury, and their functional outcomes, in in-patient rehabilitation. Older adults aged 65 and older admitted to in-patient rehabilitation from acute care with traumatic brain injury (TBI) (n = 1214) or non-traumatic brain injury (nTBI) (n = 1,530) from 2003/04 to 2009/10 in Ontario were identified. Demographic and clinical characteristics and the total function score from the FIM(™) Instrument were examined. The Discharge Abstract Database and National Rehabilitation Reporting System were used. Results indicated that older adults with TBI had significantly higher total function scores than those with nTBI at admission and at discharge (p .05) in total function scores. We conclude that older adults with TBI and nTBI make similar in-patient rehabilitation gains. Lower initial functional ability of nTBI patients on admission and patients' different clinical profiles have implications for clinical care and resources.
The organization of rehabilitative treatment at specialized unit of the territorial out-patient department of the city hospital No 3 in Armavir permits to intensify the work of medical staff in this unit by consolidating the allied services, rational use of premises and medical equipment; to centralize medical care for patients with grave conditions and long-term illnesses and also patients that are ill most of the time; the use of complexes of rehabilitative treatment makes it possible to shorten the period of temporary disability and reduce primary invalidism associated with injuries, neurologic and cardiac diseases.