Garrard Peter, Farnham Chris, Thompson Alan J, Playford E Diane
Institute of Cognitive Neuroscience, Alexandra House, London, UK.
Neurorehabil Neural Repair. 2004 Jun;18(2):76-9. doi: 10.1177/0888439004266306.
We performed a retrospective review of all patients admitted to a neurological rehabilitation unit over a 5-year period to identify the benefits and problems associated with inpatient rehabilitation of patients with a life-limiting illness. Twenty-one patients (14 men; mean age 54 years) with primary or nonprimary neurological malignancy resulting in disability were studied. For each patient the following data was extracted: gender, age, diagnosis, source of referral, mechanism of disability, prognosis at time of referral, length of inpatient stay, disability on admission and discharge, and the place of discharge. All patients made functional gains, and all but 2 were discharged home. One patient died and 4 required readmission to an acute unit because of worsening discomfort or debility within a month of discharge. Patients with life-limiting illness resulting in neurological disability can benefit from inpatient rehabilitation. Optimal management of such patients demands careful liaison with palliative care teams.
我们对一家神经康复科在5年期间收治的所有患者进行了回顾性研究，以确定与患有危及生命疾病的患者住院康复相关的益处和问题。研究对象为21例因原发性或非原发性神经恶性肿瘤导致残疾的患者（14名男性；平均年龄54岁）。为每位患者提取了以下数据：性别、年龄、诊断、转诊来源、残疾机制、转诊时的预后、住院时间、入院和出院时的残疾情况以及出院地点。所有患者的功能均有改善，除2例患者外，其余均出院回家。1例患者死亡，4例患者因出院后1个月内不适或身体虚弱加重而需再次入住急症科。患有导致神经功能残疾的危及生命疾病的患者可从住院康复中获益。对此类患者的最佳管理需要与姑息治疗团队密切联络。
