Affiliations: [a] Rheumatology and Rehabilitation Research Unit, University of Leeds, Leeds, UK | [b] The Stroke Association's Therapy Research Unit, University of Manchester, Salford, UK
Correspondence:
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The Stroke Association's Therapy Research Unit, Department of Geriatric Medicine, Clinical Sciences Building, Hope Hospital, Eccles Old Road, Salford M6 8HD, UK. Tel. +44 161 7871129; Fax: +44 161 7875578; E-mail: [email protected]
Abstract: Objectives:To determine whether a community-based, interdisciplinary, traumatic brain injury (TBI) team was more beneficial than existing services, and whether Early was better than Late intervention. Design:Subjects were consecutive hospital admissions. Assignment, to pre-discharge (Early), post-discharge (Late) intervention or control condition (existing services only), was by a prespecified timetable. Outcomes were compared at six months post-injury using logistic regression analyses. Results:104 (73%) of those eligible participated. Adjusting for potential confounding factors confirmed a clinically plausible superior outcome for both intervention groups compared to the control group in some areas but not others. These were not statistically significant (p>0.01). Conclusions:The lack of evidence of effectiveness must be treated with caution due to limitations with certain design issues (e.g. statistical power). Analysis of intervention data suggested that team-working took place but lack of experience may have hindered their efficacy at identifying all those in need of intervention.
