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Purpose <p>This study aimed to provide insight into optimizing inpatient rehabilitation (IR) for patients with brain metastases (BM) following hospitalization, including exploring functional outcomes and reviewing interdisciplinary considerations.</p> Methods <p>Using PRISMA guidelines, a search of PubMed and Embase was conducted to identify studies demonstrating functional outcomes of IR for patients with brain metastases.</p> Results <p>Three studies met inclusion criteria and a total of 59 patients with brain metastasis underwent IR. The median length of IR was 19.2 days (range: 17.95 – 20). Discharge destination after IR is available for 39 patients, including 33 (84.6%) who were discharged home, 1 (2.6%) who was discharged to a long-term care facility, 3 (7.7%) to an acute care ward, and 2 (5.1%) to palliative care. All 3 studies (n=59) used the Functional Independence Measure (FIM) to assess function after IR. The weighted average total FIM percent gain between admission and discharge was 14.9% (range: 9.6% – 27.4%) and the average FIM efficiency was 0.61 (range: 0.45 – 0.94). For the 2 studies (n=46) that reported motor and cognitive FIM, the weighted average motor gain (16.5%) was greater than the cognitive gain (3.6%).</p> Conclusion <p>Inpatient rehabilitation (IR) may enhance functional status and independence in patients with brain metastases during the interim post-hospitalization period, optimizing functional performance for a smoother transition to subsequent oncologic treatments. Healthcare providers within the multidisciplinary team should optimize the post-acute hospitalization period by considering both functional status and oncologic prognosis in patients with brain metastases to streamline rehabilitation efforts and minimize delays in oncologic care.</p>

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Optimizing post-acute care inpatient rehabilitation for patients with brain metastasis: A systematic review of functional outcomes

  • 期刊论文

  • 发表日期：

    2025年4月25日

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  • Brianna M. Donnelly,
  • Katherine G. Stark,
  • Cameron J. Persaud,
  • Randy S. D’Amico,
  • Chanel I. Davidoff

摘要

Purpose

This study aimed to provide insight into optimizing inpatient rehabilitation (IR) for patients with brain metastases (BM) following hospitalization, including exploring functional outcomes and reviewing interdisciplinary considerations.

Methods

Using PRISMA guidelines, a search of PubMed and Embase was conducted to identify studies demonstrating functional outcomes of IR for patients with brain metastases.

Results

Three studies met inclusion criteria and a total of 59 patients with brain metastasis underwent IR. The median length of IR was 19.2 days (range: 17.95 – 20). Discharge destination after IR is available for 39 patients, including 33 (84.6%) who were discharged home, 1 (2.6%) who was discharged to a long-term care facility, 3 (7.7%) to an acute care ward, and 2 (5.1%) to palliative care. All 3 studies (n=59) used the Functional Independence Measure (FIM) to assess function after IR. The weighted average total FIM percent gain between admission and discharge was 14.9% (range: 9.6% – 27.4%) and the average FIM efficiency was 0.61 (range: 0.45 – 0.94). For the 2 studies (n=46) that reported motor and cognitive FIM, the weighted average motor gain (16.5%) was greater than the cognitive gain (3.6%).

Conclusion

Inpatient rehabilitation (IR) may enhance functional status and independence in patients with brain metastases during the interim post-hospitalization period, optimizing functional performance for a smoother transition to subsequent oncologic treatments. Healthcare providers within the multidisciplinary team should optimize the post-acute hospitalization period by considering both functional status and oncologic prognosis in patients with brain metastases to streamline rehabilitation efforts and minimize delays in oncologic care.