Forrest George P
Albany Medical College, NY 12208, USA.
Arch Phys Med Rehabil. 2004 Jan;85(1):51-3. doi: 10.1016/s0003-9993(03)00366-6.
To evaluate the outcomes of patients who require hemodialysis and are admitted to an inpatient rehabilitation unit.
Retrospective review of the data of all admissions to an inpatient rehabilitation unit in 2001.
University medical center.
All inpatient rehabilitation admissions in 2001 (N=531), including 497 patients who did not require hemodialysis and 34 who required hemodialysis.
A comprehensive rehabilitation program including physical therapy and occupational therapy. Speech and language therapy and rehabilitation psychology were provided when necessary.
Length of stay (LOS), change in total score on the FIM instrument, FIM efficiency, and place of discharge.
Admission and discharge FIM scores of the patients requiring hemodialysis were virtually identical to those of the other patients admitted to the unit. The average LOS of the hemodialysis patients was 5.4 days longer than that of the other patients, and, therefore, efficiency scores of the dialysis group were less than those of the other patients. The rate of discharge to the community did not differ significantly for the dialysis group.
Patients who require hemodialysis can benefit from rehabilitation services. Their improvement on the FIM instrument is comparable to that of other patients, but their LOS may be longer than that of other patients.
评估需要血液透析且入住住院康复科的患者的治疗结果。
对2001年入住住院康复科的所有患者的数据进行回顾性分析。
大学医学中心。
2001年所有住院康复科收治患者（N = 531），包括497例不需要血液透析的患者和34例需要血液透析的患者。
一项综合康复计划，包括物理治疗和职业治疗。必要时提供言语治疗和康复心理学服务。
住院时间（LOS）、FIM量表总分变化、FIM效率及出院地点。
需要血液透析的患者入院时和出院时的FIM评分与该科室收治的其他患者几乎相同。血液透析患者的平均住院时间比其他患者长5.4天，因此，透析组的效率评分低于其他患者。透析组患者出院回归社区的比例与其他患者无显著差异。
需要血液透析的患者可从康复服务中获益。他们在FIM量表上的改善情况与其他患者相当，但住院时间可能比其他患者长。
