Frazier ranked No. 40 in Best Hospitals for Rehabilitation in U.S. News’ latest edition of the annual Best Hospitals report. This year, U.S. News announced across 49 states and 95 metro areas that have demonstrated superior outcomes.

“We could not be more honored to receive this recognition,” said Dan Hudson, CEO, UofL Health – Frazier Rehabilitation Institute. “Being named a U.S. News Top Rehab Hospital and the No. 1 rehab hospital in Kentucky reflects the exceptional patient care our team provides. They truly care about what they do and about the patients they serve – you don’t find that everywhere.”

U.S. News evaluated more than 4,400 hospitals across 15 adult specialties and 22 procedures and conditions; only 13% of evaluated hospitals earned a Best Hospitals designation.

“Helping patients regain their lives with hope and dignity is the focus for our providers and employees, and we get some pretty amazing results,” said Darryl Kaelin, MD, medical director at Frazier Rehab Institute. “Being a part of UofL Health, Frazier Rehab is part of a larger academic environment encouraging a greater focus on more aggressive research and cutting edge-treatment.

To determine the , U.S. News analyzed each hospital’s performance based on objective measures such as risk-adjusted mortality rates, preventable complications and level of nursing care. The Best Hospitals and measure patient outcomes using data from over 800 million records of patient care.

“For more than three decades, U.S. News has been an invaluable guide for patients,” said Managing Editor and Chief of Health Analysis Ben Harder at U.S. News. “With a ‘Best Hospital’ recognition, Americans, in consultation with their medical providers, can confidently choose a regional hospital known for providing superior care for their specific illness or condition.”

Recently, UofL’s School of Medicine, the academic partner of UofL Health, also ranked among the best in the nation through the U.S. News & World Report 2025 edition of Best Graduate Schools.

For more information about patient services, visit .

Imagine reliving your entire life in the space of seconds. Like a flash of lightning, you are outside of your body, watching memorable moments you lived through. This process, known as ‘life recall,’ can be similar to what it’s like to have a near-death experience. What happens inside your brain during these experiences and after death are questions that have puzzled neuroscientists for centuries. However, the new study suggests that your brain may remain active and coordinated during and even after the transition to death and be programmed to orchestrate the whole ordeal.

When an 87-year-old patient developed epilepsy, Zemmar and his colleagues used continuous electroencephalography (EEG) to detect the seizures and treat the patient. During these recordings, the patient had a heart attack and died. This unexpected event allowed the scientists to record the activity of a dying human brain for the first time ever.

Findings ‘challenge our understanding of when exactly life ends’

“We measured 900 seconds of brain activity around the time of death and set a specific focus to investigate what happened in the 30 seconds before and after the heart stopped beating,” said Zemmar, assistant professor of neurological surgery at UofL, who organized the study. “Just before and after the heart stopped working, we saw changes in a specific band of neural oscillations, so-called gamma oscillations, but also in others such as delta, theta, alpha and beta oscillations.” 

Brain oscillations (more commonly known as ‘brain waves’) are patterns of rhythmic brain activity normally present in living human brains. The different types of oscillations, including gamma, are involved in high-cognitive functions such as concentrating, dreaming, meditation, memory retrieval, information processing and conscious perception, just like those associated with memory flashbacks.

“Through generating oscillations involved in memory retrieval, the brain may be playing a last recall of important life events just before we die, similar to the ones reported in near-death experiences,” Zemmar said. “These findings challenge our understanding of when exactly life ends and generate important subsequent questions, such as those related to the timing of organ donation.”

A source of hope

While this study is the first of its kind to measure live brain activity during the process of dying in humans, similar changes in gamma oscillations have been previously observed in rats kept in controlled environments. This means it is possible that, during death, the brain organizes and executes a biological response that could be conserved across species.

These measurements are, however, based on a single case and stem from the brain of a patient who had suffered injury, seizures and swelling, which complicate the interpretation of the data. Nonetheless, Zemmar plans to investigate more cases and sees these results as a source of hope.

“As a neurosurgeon, I deal with loss at times. It is indescribably difficult to deliver the news of death to distraught family members,” he said. “Something we may learn from this research is that although our loved ones have their eyes closed and are ready to leave us to rest, their brains may be replaying some of the nicest moments they experienced in their lives.”

By Maryam Clark, science writer for .

“It turns out the spinal cord is really really smart. And it may be as smart as the brain,” Behrman said. “The brain gets information, listens to it, reads it, responds, integrates it and generates an outcome. When (the researchers) found that out, they said ‘I wonder if anybody can use this information in rehabilitating people with spinal cord injuries?’ And the answer is yes.” 

Watch more about UofL’s locomotor training, and Emmalie’s story: