Determinants of Rehabilitation Outcomes in Survivors of Primary Subarachnoid Haemorrhage

Completed

• Conditions: Subarachnoid Hemorrhage, Spontaneous
• Interventions: Other: Inpatient Rehabilitation

• Registration Number: NCT04357626
• Lead Sponsor: Tan Tock Seng Hospital

Brief Summary

A retrospective, observational single centre study of electronic medical records of discharged patients who were admitted to from 1 January 2015 to 31 December 2018.

Period of data collection was from 5 August 2019 to 15 September 2019.

Detailed Description

The objectives of this study were to describe a local cohort of acute SAH survivors during inpatient rehabilitation at a single tertiary rehabilitation centre in Singapore and identify early predictors impacting discharge rehabilitation outcomes.

Study Timeline

• Study Start: 2019-08-06
• Primary Completion: 2019-09-15
• Study Completion: 2019-09-15
• Status Verified: 2020-04
• Study First Submitted: 2020-04-19
• Study First Submitted QC: 2020-04-19
• Last Update Submitted: 2020-04-19
• Study First Posted: 2020-04-22
• Last Update Posted: 2020-04-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 114

Inclusion Criteria

• 1. Spontaneous, first-ever SAH diagnosed by admitting neurosurgeons and confirmed on neuroimaging (CT or magnetic resonance imaging) 2. Transferred from acute care facilities or admitted from clinics to TTSH RC 3. Ages between 21 - 85 years 4. Duration of SAH to rehabilitation admission ≤6 months

Exclusion Criteria

• 1. No radiological evidence of SAH 2. Traumatic SAH 3. Previous diagnosis of SAH 4. Main reason for admission into TTSH RC was not for inpatient rehabilitation (e.g. wound care, medical or social admission)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Completed discharged hospital rehabilitation electronic record	Inpatient Rehabilitation	Completed discharged hospital rehabilitation electronic record of patients who underwent inpatient rehabilitation as part of routine clinical care.

Primary Outcome Measures

Name	Time	Method
Functional Independence Measure (FIM score)	Within 72 hours of discharge from rehabilitation	The FIM, scored between 18 - 126, comprises of 18 items (motor and cognitive sub scores) which assesses a patient's degree of disability and indicates the degree of assistance required for activities of daily living. FIM scoring is widely used for functional scoring in patients with neurologic pathologies such as stroke or traumatic brain injury. Studies on its utility have shown high reliability, validity, and sensitivity for measuring functional ability and high consistency with other functional scales such as the Barthel Index

Secondary Outcome Measures

Name	Time	Method
FIM Change	Within 72 hours of admission and discharge from rehabilitation	Difference between FIM discharge and admission

Trial Locations

Locations (2)

Tan Tock Seng Hospital Rehabilitation Centre; 🇸🇬 Singapore, Singapore

Tan Tock Seng Hospital; 🇸🇬 Singapore, Singapore