Abstract
Objective
To examine whether children with brain tumors treated with resection benefit from
inpatient rehabilitation and to explore what factors present at admission may predict
better functional outcomes.
Design
Retrospective cohort design.
Setting
Pediatric inpatient rehabilitation unit.
Participants
Forty patients (N=40; ages 3-21y; 42.5% female) admitted to the rehabilitation unit
between 2003 and 2015 after brain tumor resection.
Interventions
Patients received multidisciplinary rehabilitation therapies as part of their admission
to inpatient rehabilitation, including occupational, physical, and speech-language
therapy.
Main Outcome Measures
Functional outcomes included the FIM for Children (WeeFIM) at discharge and 3-month
follow-up as well as WeeFIM efficiency.
Results
A repeated-measures analysis of variance using patient WeeFIM Developmental Functional
Quotients (DFQs) at admission, discharge, and 3-month follow-up showed significant
gains in total WeeFIM DFQ scores across time. Admission WeeFIM DFQ, time from surgery
to admission, and age at admission provided the strongest model for predicting discharge
and 3-month follow-up WeeFIM DFQ scores. Admission WeeFIM DFQ and time from surgery
to admission provided the strongest model for predicting WeeFIM efficiency. Total
Neurological Predictor Scale (NPS) at admission did not add predictive power to any
of the 3 models over and above patient characteristics (admission WeeFIM DFQ, age
at admission, time from surgery to admission).
Conclusions
Patients admitted to inpatient rehabilitation after brain tumor resection made significant
functional gains (as measured by the WeeFIM) during inpatient rehabilitation and continued
to make significant gains 3 months after discharge. Age and timing of admission provided
the strongest models for predicting patient outcomes. The NPS did not predict functional
outcomes after rehabilitation when controlling for other variables known to influence
rehabilitation outcomes.
Keywords
List of abbreviations:
ANOVA (analysis of variance), DFQ (Developmental Functional Quotient, FIM, functional independence measure), NPS (Neurological Predictor Scale), VIF (variance inflation factor), WeeFIM (FIM for Children)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 24, 2021
Accepted:
May 5,
2021
Received:
April 14,
2021
Footnotes
Disclosures: none
Identification
Copyright
© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
