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Rehabilitation Outcomes in Subjects with West Nile Neuro-Invasive Disease
Brain Sciences ( IF 2.7 ) Pub Date : 2021-09-22 , DOI: 10.3390/brainsci11101253
Komal Patel 1 , Brian D Greenwald 2 , Rosanna C Sabini 3
Affiliation  

West Nile Virus (WNV) is the most common mosquito borne cause of viral encephalitis in the United States. Physical and neuro-cognitive recovery from WNND may be prolonged or incomplete leading to chronic cognitive inefficiencies and functional decline. There continues to be no effective treatment of WNV and current management is primarily supportive. The objective of this review is to evaluate the functional outcomes and role of rehabilitation services in subjects with WNND. The charts of five subjects admitted to an acute inpatient brain injury rehabilitation facility from June to December 2012 were retrospectively reviewed. (Mean, Range)-Age (64.8, 43–78 years), Admission Functional Independence Measure (FIM) (45.2, 14–63), Discharge FIM (82.2, 61–100), FIM score gain (37, 24–60), Cognitive FIM gain (7, 1–18), Mobility FIM gain (17.4, 13–20), ADL FIM gain (12.6, 4–23); acute brain injury inpatient rehabilitation facility length of stay (LOS) (17.8, 14–21 days); acute hospital LOS (15, 10–22 days). Of the five subjects, three were discharged home, one was discharged to a skilled nursing facility, and one was discharged to an assisted living facility. Subjects with WNND have significant functional decline across all FIM subcategories and may benefit from a course of brain injury-specific acute inpatient rehabilitation.

中文翻译:

西尼罗河神经侵袭性疾病患者的康复结果

西尼罗河病毒 (WNV) 是美国最常见的由蚊子传播的病毒性脑炎病因。WNND 的身体和神经认知恢复可能会延长或不完全,导致慢性认知效率低下和功能下降。WNV 仍然没有有效的治疗方法,目前的管理主要是支持性的。本综述的目的是评估康复服务在 WNND 患者中的功能结果和作用。回顾性审查了 2012 年 6 月至 12 月入住急性脑损伤康复中心的 5 名受试者的图表。(平均值,范围)-年龄(64.8、43-78 岁)、入学功能独立性测量 (FIM)(45.2、14-63)、出院 FIM(82.2、61-100)、FIM 得分增加(37、24-60) ),认知 FIM 增益 (7, 1–18),移动性 FIM 增益 (17.4, 13–20),ADL FIM 增益 (12.6, 4–23);急性脑损伤住院康复设施住院时间 (LOS)(17.8 天,14-21 天);急性住院 LOS(15、10-22 天)。在五名受试者中,三名出院回家,一名出院到专业护理机构,一名出院到辅助生活机构。患有 WNND 的受试者在所有 FIM 子类别中都有显着的功能下降,并且可能受益于脑损伤特定的急性住院康复过程。
更新日期:2021-09-22
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