Perfil del sujeto con daño cerebral adquirido en fase crónica en un recurso de atención sociosanitaria / Clinical profile in subjects with acquired brain injury in chronic phase in a social and health care center

Introducción. En nuestro país existen escasos recursos dirigidos a la atención del sujeto con daño cerebral adquirido (DCA) en fase posthospitalaria. En este nivel de atención, el Centro de Promoción de la Autonomía Personal de Bergondo se plantea como un recurso sociosanitario para facilitar la integración del sujeto con DCA en su entorno. Objetivos. Describir el perfil clínico de los sujetos integrados en nuestra unidad y valorar los objetivos de recuperación clínica y funcional en fases crónicas del DCA. Pacientes y métodos. Muestra de 105 sujetos admitidos en nuestro centro hasta diciembre de 2010, 86 hombres y 19 mujeres, con una edad media de 32,16 años y un tiempo de evolución más frecuente de menos de cinco años (64,76%). Se recogieron las variables sexo, edad, etiología, tiempo de evolución, diagnóstico de cambio de personalidad, medida de independencia funcional a la admisión, participación previa en programas de rehabilitación y existencia de objetivos de recuperación. Resultados. La principal etiología encontrada fue el traumatismo craneoencefálico (62,5%). El 54,28% recibía rehabilitación física a la admisión, mientras que el 49,52% había participado en intervenciones de neuropsicología. Se identificó a un 42,85% de sujetos con objetivos de recuperación física y a un 78,09% con objetivos en el campo de la neuropsicología. Conclusión. El perfil observado es el de un varón joven con secuelas derivadas de un traumatismo craneoencefálico de menos de cinco años de evolución, que ha recibido una escasa atención en el ámbito de la neuropsicología y que continúa recibiendo tratamientos de fisioterapia (AU)

Introduction. There are few resources for acquired brain injury (ABI) in post-hospitalary phase in our country. At this level of carefulness, Personal Autonomy Promotion Center in Bergondo contemplates like a social and health care resource in order to facilitate community integration in subjects with ABI. Aims. To describe clinical profile in the subjects admitted in our unit, and to assess intervention possibilities with clinicofunctional recovery goals in the chronic phases in ABI. Patients and methods. Sample of 105 subjects admitted in our center until December 2010. 86 men and 19 women, with a mean age of 32.16 years old and a most frequent evolution time of less than 5 years (64.76%). Variables collected were: sex, age, etiology, evolution time, personality changes diagnosis, admission FIM, previous participation in rehabilitation programmes and have recovery goals. Results. The main etiology was traumatic brain injury (62.5%). The 54.28% of the subjects was taking physical rehabilitation at the moment of admission, while the 49.52% had participated in neuropsychological interventions. Physical recovery goals were identified in the 42.85% of the subjects and the 78.09% had goals in neuropsychology field. Conclusion. The clinical profile observed was young man with sequelae caused by a traumatic brain injury suffered in last five years, who has received poor neuropsychological care and that still takes physiotherapy treatment (AU)

[Clinical profile in subjects with acquired brain injury in chronic phase in a social and health care center]. / Perfil del sujeto con daño cerebral adquirido en fase crónica en un recurso de atención sociosanitaria.

INTRODUCTION: There are few resources for acquired brain injury (ABI) in post-hospitalary phase in our country. At this level of carefulness, Personal Autonomy Promotion Center in Bergondo contemplates like a social and health care resource in order to facilitate community integration in subjects with ABI. AIMS. To describe clinical profile in the subjects admitted in our unit, and to assess intervention possibilities with clinico-functional recovery goals in the chronic phases in ABI. PATIENTS AND METHOD: . Sample of 105 subjects admitted in our center until December 2010. 86 men and 19 women, with a mean age of 32.16 years old and a most frequent evolution time of less than 5 years (64.76%). Variables collected were: sex, age, etiology, evolution time, personality changes diagnosis, admission FIM, previous participation in rehabilitation programmes and have recovery goals. RESULTS: The main etiology was traumatic brain injury (62.5%). The 54.28% of the subjects was taking physical rehabilitation at the moment of admission, while the 49.52% had participated in neuropsychological interventions. Physical recovery goals were identified in the 42.85% of the subjects and the 78.09% had goals in neuropsychology field. CONCLUSION: The clinical profile observed was young man with sequelae caused by a traumatic brain injury suffered in last five years, who has received poor neuropsychological care and that still takes physiotherapy treatment.