Edwards M J, McNeil J E, Greenwood R J
The Regional Neurological Rehabilitation Unit, Homerton Hospital, London, UK.
Disabil Rehabil. 2003 Apr 22;25(8):405-10. doi: 10.1080/0963828031000062642.
To describe aspects of process and outcome during early inpatient rehabilitation of younger adults after single incident brain injury.
Analysis of a database of 290 patients discharged from an inner-city hospital based inpatient unit for younger adults after single incident neurological events, over a 5-year period.
Analysis showed a stable case-mix of patients over the 5 years surveyed with a preponderance of young male patients after traumatic brain injury. Improvements in patients' disability and dependency, measured by the Barthel Index and Functional Independence Measure, were recorded in the majority of patients. The ethnic diversity of the patients, reflecting the multi-cultural nature of the catchment population, did not appear to affect rehabilitation outcome. Failure to record improvement in 15% of patients was related to the floor and ceiling effects of the instruments. A useful regression equation was produced relating length of stay to Barthel score on admission.
These data demonstrate the changes that occur during early inpatient rehabilitation after single incident brain injury. They explore clinical indicators of dependency and outcome, and aspects of resource utilization that characterize our service. Publication of data of this sort, from this and other units, should encourage the development and improvement of current rehabilitation service delivery after brain injury.
描述单次脑损伤后年轻成人早期住院康复期间的过程及结果。
对一家市中心医院针对单次神经事件后的年轻成人设立的住院部在5年期间出院的290例患者的数据库进行分析。
分析显示，在调查的5年中患者的病例组合稳定，创伤性脑损伤后年轻男性患者居多。多数患者在采用巴氏指数和功能独立性测量评估时，其残疾和依赖状况有所改善。反映集水区人群多元文化性质的患者种族多样性似乎并未影响康复结果。15%的患者未记录到改善情况与评估工具的地板效应和天花板效应有关。得出了一个有用的回归方程，将住院时长与入院时的巴氏评分联系起来。
这些数据表明了单次脑损伤后早期住院康复期间发生的变化。它们探究了依赖和结果的临床指标以及我们服务所特有的资源利用方面。此类数据在本单位及其他单位的公布应会促进当前脑损伤后康复服务的发展与改进。
