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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(4):816-821.
The Initial Computerized Tomography Findings of the Brain and the Functional Outcome in Traumatic Brain Injured Patients.
Song, Sun Hong , Chun, Chang Sik , Chun, Min Ho
Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine.
외상성 뇌손상 환자의 초기 뇌 단층 촬영 소견과 기능적 회복 정도
송선홍, 전창식, 전민호
울산의대 중앙병원 재활의학과
Abstract

Objectives: To investigate the correlation of the initial Computerized Tomography(CT) findings of the brain and the functional outcome, and to suggest the initial CT findings as a functional outcome predictor in the traumatic brain injured(TBI) patients.


Methods
Thirty-nine TBI patients were included in this study. Subjects were divided into groups of non-focal or focal TBI, and with or without a depressed skull fracture according to their initial brain CT findings.


Results
The non-focal TBI patients were not significantly different from focal TBI patients in the days from onset to rehabilitation, rehabilitation stay, and initial FIM score. However their outcome in FIM gain and FIM efficiency significantly worse than focal TBI patients. The TBI patients with a depressed skull fracture were not significantly different from the patients without a depressed skull fracture in the days from onset to rehabilitation, rehabilitation stay, and intial FIM score. However their outcomes were significantly worse than patients without a depressed skull fractrue in FIM efficiency.


Conclusion
The initial brain CT findings were generally useful for the prediction of functional outcomes in TBI patients.

Key Words: FIM, Functional outcome, Traumatic brain injury, Computerized Tomography findings


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