Determinants of Rehabilitation Outcomes in Survivors of Primary Subarachnoid Haemorrhage

Study Overview
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Brief Summary
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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
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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.

Official Title
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Determinants of Rehabilitation Outcomes in Survivors of Primary Subarachnoid

Conditions
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Subarachnoid Hemorrhage, Spontaneous

Intervention / Treatment
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* Other: Inpatient Rehabilitation


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Completed discharged hospital rehabilitation electronic record<br>Completed discharged hospital rehabilitation electronic record of patients who underwent inpatient rehabilitation as part of routine clinical care. | Other: Inpatient Rehabilitation<br>* Observational electronic records review study during inpatient rehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Independence Measure (FIM score) | 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 | Within 72 hours of discharge from rehabilitation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| FIM Change | Difference between FIM discharge and admission | Within 72 hours of admission and discharge from rehabilitation |