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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(4):603-610.
Comparison of Prognosis between the Hypoxic-Hypotensive Brain Injured and Traumatic Brain Injured Patients.
Yoon, Se Jin , Chun, Min Ho
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine.
저산소성–저혈압성 뇌손상과 외상성 뇌손상 환자의 예후 비교
윤세진, 전민호
울산대학교 의과대학 서울중앙병원 재활의학과
Abstract

Objective
To identify the clinical characteristics of the patients with hypoxic-hypotensive brain injury (HBI) and to compare the prognosis of HBI with patients with traumatic brain injury (TBI).


Method
Six patients with HBI and sixteen patients with TBI, who had been comatose for more than 8 hours, were enrolled. The functional status was evaluated by the Functional Independence Measure (FIM) score.


Results
The causes of HBI were: two respiratory arrest, three cardiac arrest, and one hypotensive shock. Most patients had memory disturbance, confusion, spasticity, contracture of joints, and weakness after the HBI. Other problems included dysphagia, ataxia or tremor, dementia, and concomitant medical problems. Among these clinical features, confusion and spasticity were serious obstacles in rehabilitation. The HBI patients had lower initial and discharge total FIM score, total FIM gain, total FIM efficacy, cognitive FIM efficacy, and motor FIM efficacy than the TBI patients. The HBI patients had a poor outcome due to more widespread brain damage, medical complications, and delayed rehabilitation treatments as compared with TBI patients.


Conclusion
We concluded that HBI patients had more diffuse and severe deficit than TBI patients.

Key Words: Hypoxic-hypotensive brain injury, Traumatic brain injury, Rehabilitation, Functional outcome


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