The purpose of this observational study is to quantify physical activity patterns in patients with severe acquired brain injury admitted for in-hospital rehabilitation.
Patients admitted for rehabilitation will be included for two periods of one-week monitorization of physical activity. The investigators will include all patients with moderate to severe brain injury. This is an observational cross-sectional study including patients 18 years or above. Patients with conditions such as unstable fractures that restricts mobilisation are excluded. Physical activity is measured continuously during rehabilitation at two separate seven-day periods using a body-worn activity tracker. The first period will be initiated in the early phase of rehabilitation (3 days after admission) and the second at the late phase (10 days before discharge). Baseline variables considered predictors, confounders or modifiers for physical activity will be collected along with registration of variables during the measurement periods and functional outcome variables at discharge.
Study Type
OBSERVATIONAL
Enrollment
100
No intervention will be applied. All included patients will be monitored with body-worn physical activity monitors during two periods.
Department of Brain and Spinal Cord Injury
Glostrup Municipality, Denmark
Early physical activity
Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active.
Time frame: Continuous measure of physical activity during day three to ten of rehabilitation
Late physical activity
Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active.
Time frame: Continuous measure of physical activity during day three to ten before discharge from rehabilitation
Functional Independence Measure (discharge)
Functional scale evaluating independence from a score of 18 (worst) to 126 (best)
Time frame: Discharge from rehabilitation (3 months)
Glasgow Coma Scale (GCS) (admission)
Coma scale with score between 3 (worst) to 15 (best)
Time frame: Admission
Comorbidities at admission
Number of comorbidities
Time frame: Admission
Early Functional Ability (EFA) score
Early signs of functional ability. Score between 20 (worst) and 100 (best)
Time frame: Admission
Ranchos Los Amigos Score
Level of cognitive function. Score between 1 (worst) and 8 (best)
Time frame: Admission
Length of stay at intensive care unit
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Number of days at intensive care unit before admission to rehabilitation unit
Time frame: Retrospectively recorded at admission to the rehabilitation department
Agitated Behaviour Scale (ABS)
Days with ABS above 22. Dichotomised outcome with scores above 22 indicating agitated behaviour.
Time frame: Day three to ten of rehabilitation