| Titre : | Cognitive rehabilitation for traumatic brain injury : A randomized trial. (2000) |
| Auteurs : | A.M. SALAZAR ; S. BRAVERMAN ; R. COLE ; J. ECKLUND ; R.G. ELLENBOGEN ; E.M. Martin ; M.M. ROSNER ; K. SCHWAB ; J. SPECTOR ; J. WALTER ; D.L. WARDEN ; Defense and Veterans Head Injury Program at the Henry M Jackson Foundation. Rockville. MD. USA ; Defense and Veterans Head Injury Program Dvhip Study Group. INC ; Walter Reed Army Medical Center. Washington. DC. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 283, n° 23, 2000) |
| Pagination : | 3075-3081 |
| Langues: | Anglais |
| Mots-clés : | Traumatisme ; Essai thérapeutique ; Analyse coût efficacité ; Evaluation ; Résultat ; Homme ; Système nerveux [pathologie] ; Système ostéoarticulaire [pathologie] ; Rééducation ; Economie santé |
| Résumé : | [BDSP. Notice produite par INIST zVJR0xxS. Diffusion soumise à autorisation]. Context Traumatic brain injury (TBI) is a principal cause of death and disability in young adults. Rehabilitation for TBI has not received the same level of scientific scrutiny for efficacy and cost-efficiency that is expected in other medical fields. Objective To evaluate the efficacy of inpatient cognitive rehabilitation for patients with TBI. Design and Setting Single-center, parallel-group, randomized trial conducted from January 1992 through February 1997 at a US military medical referral center. Patients One hundred twenty active-duty military personnel who had sustained a moderate-to-severe closed head injury, manifested by a Glasgow Coma Scale score of 13 or less, or posttraumatic amnesia lasting at least 24 hours, or focal cerebral contusion or hemorrhage on computed tomography or magnetic resonance imaging. Interventions Patients were randomly assigned to an intensive, standardized, 8-week, in-hospital cognitive rehabilitation program (n=67) or a limited home rehabilitation program with weekly telephone support from a psychiatric nurse (n=53). Main Outcome Measures Return to gainful employment and fitness for military duty at 1-year follow-up, compared by intervention group. (...) |
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