Return to work

A cut-off of FIM gain with montebello rehabilitation factor score in order to identify predictive factors in subjects with acquired brain injury

Marco Franceschini, Maria Pia Massimiani, Stefano Paravati, Maurizio Agosti

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Return to work (RTW) for people with acquired brain injury (ABI) represents a main objective of rehabilitation: this work presents a strong correlation between personal well-being and quality of life. The aim of this study is to investigate the prognostic factors that can predict RTW after ABI (traumatic or non- traumatic aetiology) in patients without disorders of consciousness (e.g. coma, vegetative or minimally conscious state) at the beginning of their admission to rehabilitation. At the end of a 6-month follow-up after discharge, data were successfully collected in 69 patients. The rehabilitation effectiveness (functional Recovery) between admission and discharge was assessed by Functional Independent Measure (FIM) gain, through the Montebello Rehabilitation Factor Score (MRFS), which was obtained as follows: (discharge FIM - admission FIM)/(Maximum possible FIM - Admission FIM) × 100. The cut-off value (criterion) deriving from MRFS, which helped identify RTW patients, resulted in .659 (sn 88.9%; sp 52.4%). Considering the Mini Mental State Examination (MMSE) and the MRFS data, the multivariable binary logistic regression analysis presented 62.96% of correct RTW classification cases, 80.95% of non-RTW leading to an overall satisfactory predictability of 73.91%. The results of the present study suggest that occupational therapy intervention could modify cut-off in patients with an MFRS close to target at the end of an in-hospital rehabilitative program thus developing their capabilities and consequently surpassing cut-off itself.

Original languageEnglish
Article numbere0165165
JournalPLoS One
Volume11
Issue number10
DOIs
Publication statusPublished - Oct 1 2016

Fingerprint

Return to Work
rehabilitation (people)
Patient rehabilitation
Brain Injuries
Brain
Rehabilitation
brain
consciousness disorders
occupational therapy
Occupational therapy
Consciousness Disorders
Persistent Vegetative State
coma
Occupational Therapy
Coma
quality of life
Regression analysis
etiology
Logistics
regression analysis

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Return to work : A cut-off of FIM gain with montebello rehabilitation factor score in order to identify predictive factors in subjects with acquired brain injury. / Franceschini, Marco; Massimiani, Maria Pia; Paravati, Stefano; Agosti, Maurizio.

In: PLoS One, Vol. 11, No. 10, e0165165, 01.10.2016.

Research output: Contribution to journalArticle

@article{18a9ca5a7cc242aaa000a9e5ea67e81c,
title = "Return to work: A cut-off of FIM gain with montebello rehabilitation factor score in order to identify predictive factors in subjects with acquired brain injury",
abstract = "Return to work (RTW) for people with acquired brain injury (ABI) represents a main objective of rehabilitation: this work presents a strong correlation between personal well-being and quality of life. The aim of this study is to investigate the prognostic factors that can predict RTW after ABI (traumatic or non- traumatic aetiology) in patients without disorders of consciousness (e.g. coma, vegetative or minimally conscious state) at the beginning of their admission to rehabilitation. At the end of a 6-month follow-up after discharge, data were successfully collected in 69 patients. The rehabilitation effectiveness (functional Recovery) between admission and discharge was assessed by Functional Independent Measure (FIM) gain, through the Montebello Rehabilitation Factor Score (MRFS), which was obtained as follows: (discharge FIM - admission FIM)/(Maximum possible FIM - Admission FIM) × 100. The cut-off value (criterion) deriving from MRFS, which helped identify RTW patients, resulted in .659 (sn 88.9{\%}; sp 52.4{\%}). Considering the Mini Mental State Examination (MMSE) and the MRFS data, the multivariable binary logistic regression analysis presented 62.96{\%} of correct RTW classification cases, 80.95{\%} of non-RTW leading to an overall satisfactory predictability of 73.91{\%}. The results of the present study suggest that occupational therapy intervention could modify cut-off in patients with an MFRS close to target at the end of an in-hospital rehabilitative program thus developing their capabilities and consequently surpassing cut-off itself.",
author = "Marco Franceschini and Massimiani, {Maria Pia} and Stefano Paravati and Maurizio Agosti",
year = "2016",
month = "10",
day = "1",
doi = "10.1371/journal.pone.0165165",
language = "English",
volume = "11",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

TY - JOUR

T1 - Return to work

T2 - A cut-off of FIM gain with montebello rehabilitation factor score in order to identify predictive factors in subjects with acquired brain injury

AU - Franceschini, Marco

AU - Massimiani, Maria Pia

AU - Paravati, Stefano

AU - Agosti, Maurizio

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Return to work (RTW) for people with acquired brain injury (ABI) represents a main objective of rehabilitation: this work presents a strong correlation between personal well-being and quality of life. The aim of this study is to investigate the prognostic factors that can predict RTW after ABI (traumatic or non- traumatic aetiology) in patients without disorders of consciousness (e.g. coma, vegetative or minimally conscious state) at the beginning of their admission to rehabilitation. At the end of a 6-month follow-up after discharge, data were successfully collected in 69 patients. The rehabilitation effectiveness (functional Recovery) between admission and discharge was assessed by Functional Independent Measure (FIM) gain, through the Montebello Rehabilitation Factor Score (MRFS), which was obtained as follows: (discharge FIM - admission FIM)/(Maximum possible FIM - Admission FIM) × 100. The cut-off value (criterion) deriving from MRFS, which helped identify RTW patients, resulted in .659 (sn 88.9%; sp 52.4%). Considering the Mini Mental State Examination (MMSE) and the MRFS data, the multivariable binary logistic regression analysis presented 62.96% of correct RTW classification cases, 80.95% of non-RTW leading to an overall satisfactory predictability of 73.91%. The results of the present study suggest that occupational therapy intervention could modify cut-off in patients with an MFRS close to target at the end of an in-hospital rehabilitative program thus developing their capabilities and consequently surpassing cut-off itself.

AB - Return to work (RTW) for people with acquired brain injury (ABI) represents a main objective of rehabilitation: this work presents a strong correlation between personal well-being and quality of life. The aim of this study is to investigate the prognostic factors that can predict RTW after ABI (traumatic or non- traumatic aetiology) in patients without disorders of consciousness (e.g. coma, vegetative or minimally conscious state) at the beginning of their admission to rehabilitation. At the end of a 6-month follow-up after discharge, data were successfully collected in 69 patients. The rehabilitation effectiveness (functional Recovery) between admission and discharge was assessed by Functional Independent Measure (FIM) gain, through the Montebello Rehabilitation Factor Score (MRFS), which was obtained as follows: (discharge FIM - admission FIM)/(Maximum possible FIM - Admission FIM) × 100. The cut-off value (criterion) deriving from MRFS, which helped identify RTW patients, resulted in .659 (sn 88.9%; sp 52.4%). Considering the Mini Mental State Examination (MMSE) and the MRFS data, the multivariable binary logistic regression analysis presented 62.96% of correct RTW classification cases, 80.95% of non-RTW leading to an overall satisfactory predictability of 73.91%. The results of the present study suggest that occupational therapy intervention could modify cut-off in patients with an MFRS close to target at the end of an in-hospital rehabilitative program thus developing their capabilities and consequently surpassing cut-off itself.

UR - http://www.scopus.com/inward/record.url?scp=84992383172&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84992383172&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0165165

DO - 10.1371/journal.pone.0165165

M3 - Article

VL - 11

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 10

M1 - e0165165

ER -