Disability and Factors Associated with Disability in the Discharge Transition Phase After Acquired Brain Injury: An Observational Follow-Up Study

Abstract

Background/Objectives: Patients with acquired brain injury (ABI) often face complex challenges during the transition from in-hospital rehabilitation to everyday life. This study aimed to investigate disability, health-related quality of life (HRQoL), work, and other aspects of functioning as indicators of a meaningful life in this transition phase. Additionally, we assessed how disability three months post-discharge correlates with known risk factors. Methods: We conducted a prospective observational follow-up study including patients aged ≥18 years with ABI discharged from a specialized rehabilitation clinic. Patient-reported outcomes, including disability and HRQoL, were collected at discharge and three months later. Associations between disability and known risk factors were analyzed using multiple linear regression. Results: A total of 137 patients were included (mean age 63), with a follow-up completion rate of 59%. At follow-up, 11% reported complete recovery, while a moderate level of disability persisted overall, with no systematic change from discharge. HRQoL improved significantly, reaching a mean score of 0.83. Fatigue, sex, and time from injury to rehabilitation were significantly associated with disability levels. Conclusions: The transition phase after rehabilitation posed challenges for patients with ABI, with 38% experiencing moderate disability. Despite this, HRQoL improved to levels comparable with the general population. Fatigue, sex, and rehabilitation timing emerged as key factors influencing disability outcomes.