脊髓损伤护理系统：芝加哥康复研究所的十五年经验

Spinal cord injury care system: fifteen-year experience at the Rehabilitation Institute of Chicago.

作者信息

Yarkony G M, Roth E J, Meyer P R, Lovell L, Heinemann A W, Betts H B

机构信息

Department of Rehabilitation Medicine, Northwestern University Medical School, Chicago.

出版信息

Paraplegia. 1990 Jun;28(5):321-9. doi: 10.1038/sc.1990.42.

DOI:10.1038/sc.1990.42

PMID:2235041

Abstract

A statistical study of 15 years of the spinal cord injury care system of the Rehabilitation Institute of Chicago is reported. The Rehabilitation Institute of Chicago (RIC) is the rehabilitation component of the Midwest Regional Spinal Cord Injury Care System, a collaborative programme with Northwestern Memorial Hospital and Northwestern University. Data are reported on 1382 patients, a representative sample of the over 2000 patients treated since the inception of the centre. The sample was predominantly male (83%, N = 1147) and caucasian (64%, N = 888). The most common aetiology was motor vehicle accidents (36%, N = 505). During the 15-year period there were significant decreases in both acute and rehabilitation lengths of stay. Ninety three per cent of the patients were discharged home. Rehabilitation benefits were demonstrated by improvements in the Modified Barthel Index. The research, educational and clinical programmes are described.

摘要

本文报道了对芝加哥康复研究所脊髓损伤护理系统15年的统计研究。芝加哥康复研究所（RIC）是中西部地区脊髓损伤护理系统的康复组成部分，该系统是与西北纪念医院和西北大学合作开展的项目。报告了1382例患者的数据，这些患者是该中心自成立以来治疗的2000多名患者的代表性样本。样本以男性为主（83%，N = 1147），白种人占64%（N = 888）。最常见的病因是机动车事故（36%，N = 505）。在这15年期间，急性住院时间和康复住院时间均显著缩短。93%的患者出院回家。改良巴氏指数的改善证明了康复的益处。文中还描述了研究、教育和临床项目。