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Functional outcome after brain tumor and acute stroke: a comparative analysis
M E Huang1, D X Cifu, L Keyser-Marcus
1Rehabilitation and Research Center, Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Medical College of Virginia Hospitals, Richmond 23298, USA.
Archives of Physical Medicine and Rehabilitation
|November 20, 1998
Summary
Brain tumor patients achieve similar functional outcomes and community discharge rates as stroke patients, but with a shorter inpatient rehabilitation stay. This highlights comparable recovery potential and efficiency for brain tumor survivors.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Neuro-oncology
Background:
- Inpatient rehabilitation outcomes for brain tumor patients are not well-defined.
- Comparison with stroke patients, a common rehabilitation cohort, is needed.
Purpose of the Study:
- To compare functional outcomes, length of stay, and discharge disposition between brain tumor and acute stroke patients undergoing inpatient rehabilitation.
Main Methods:
- Retrospective, case-controlled study matching 63 brain tumor patients with 63 stroke patients.
- Functional Independence Measure (FIM) assessed on admission and discharge, including FIM change and efficiency.
- Analysis of FIM subsets: Activities of Daily Living (ADL), Mobility (MOB), and Cognition (COG).
Main Results:
- No significant differences in total FIM scores or FIM efficiency between brain tumor and stroke groups.
- Brain tumor patients had higher admission Mobility-FIM scores, while stroke patients showed greater ADL-FIM improvement.
- Both groups achieved >85% community discharge rates; brain tumor patients had a shorter rehabilitation length of stay (25 vs. 34 days).
Conclusions:
- Brain tumor patients demonstrate comparable functional outcomes and community discharge rates to stroke patients.
- Brain tumor patients experience a significantly shorter inpatient rehabilitation length of stay.