Determinants of Rehabilitation Outcomes in Survivors of Primary Subarachnoid Haemorrhage

Tan Tock Seng Hospital114 enrolled

Overview

A retrospective, observational single centre study of electronic medical records of discharged patients who were admitted to from 1 January 2015 to 31 December 2018. Period of data collection was from 5 August 2019 to 15 September 2019.

The objectives of this study were to describe a local cohort of acute SAH survivors during inpatient rehabilitation at a single tertiary rehabilitation centre in Singapore and identify early predictors impacting discharge rehabilitation outcomes.

Study Type

OBSERVATIONAL

Enrollment

114

Conditions

Subarachnoid Hemorrhage, Spontaneous

Interventions

Inpatient RehabilitationOTHER

Observational electronic records review study during inpatient rehabilitation

Eligibility

Sex: ALLMin age: 21 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 1\. Spontaneous, first-ever SAH diagnosed by admitting neurosurgeons and confirmed on neuroimaging (CT or magnetic resonance imaging) 2. Transferred from acute care facilities or admitted from clinics to TTSH RC 3. Ages between 21 - 85 years 4. Duration of SAH to rehabilitation admission ≤6 months Exclusion Criteria: * 1\. No radiological evidence of SAH 2. Traumatic SAH 3. Previous diagnosis of SAH 4. Main reason for admission into TTSH RC was not for inpatient rehabilitation (e.g. wound care, medical or social admission)

Locations (2)

Tan Tock Seng Hospital

Singapore, Singapore

Tan Tock Seng Hospital Rehabilitation Centre

Singapore, Singapore

Outcomes

Primary Outcomes

Functional Independence Measure (FIM score)

The FIM, scored between 18 - 126, comprises of 18 items (motor and cognitive sub scores) which assesses a patient's degree of disability and indicates the degree of assistance required for activities of daily living. FIM scoring is widely used for functional scoring in patients with neurologic pathologies such as stroke or traumatic brain injury. Studies on its utility have shown high reliability, validity, and sensitivity for measuring functional ability and high consistency with other functional scales such as the Barthel Index

Time frame: Within 72 hours of discharge from rehabilitation

Secondary Outcomes

FIM Change

Difference between FIM discharge and admission

Time frame: Within 72 hours of admission and discharge from rehabilitation

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.