Neuroanesthesia & neurocritical care

Impact of rehabilitation in the neurointensive care unit on long‐term survival in patients with traumatic brain injury

Acta Anaesthesiol ScandPublished Retrospective observational cohort study

Main finding · MortalityResult — go to the resultAdjusted hazard ratio 0.56 95% CI 0.36–0.89

Authors' conclusion

Patients receiving EIR had better long-term survival, with both groups experiencing the highest mortality rate early on.

Study context

Population
Adults aged 18–67 years with moderate to severe traumatic brain injury (TBI) (GCS 3–14) admitted to the Neurointensive Care Unit (NICU) for >72 h, 2010–2022
Participants
698 adults
Exposure
Early interdisciplinary rehabilitation (EIR) vs Standard of care (SC)
  • EIRn = 461
  • SCn = 237reference
Outcome
Long-term mortality (from start of follow-up until end of follow-up)
Methodological detailsinverse probability of treatment weighted
  • Inverse probability of treatment weighted

Main finding

Mortality · end of follow-up

Adjusted hazard ratio

0.56

95% CI 0.36–0.89

P = 0.015

Events by group

EIR vs SC
adjusted HR 0.56 (95% CI 0.36–0.89); P = 0.015

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)P value
Mortality at 30 days0.57 (0.37–0.87)P = 0.010

Mortality at 30 days

Both groups had the highest mortality rate within 30 days

Original publication

Impact of rehabilitation in the neurointensive care unit on long‐term survival in patients with traumatic brain injury. Acta Anaesthesiol Scand. Published 18 March 2025. doi:10.1111/aas.70026

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