Amy Chen, Zagorski Brandon, Chan Vincy, Parsons Daria, Vander Laan Rika, Colantonio Angela
Toronto Rehabilitation Institute, UHN, Toronto, ON.
Healthc Policy. 2012 May;7(4):41-55.
Alternate-level-of-care (ALC) days represent hospital beds that are taken up by patients who would more appropriately be cared for in other settings. ALC days have been found to be costly and may result in worse functional outcomes, reduced motor skills and longer lengths of stay in rehabilitation. This study examines the factors that are associated with acute care ALC days among patients with acquired brain injury (ABI). We used the Discharge Abstract Database to identify patients with ABI using International Classification of Disease-10 codes. From fiscal years 2007/08 to 2009/10, 17.5% of patients with traumatic and 14% of patients with non-traumatic brain injury had at least one ALC day. Significant predictors include having a psychiatric co-morbidity, increasing age and length of stay in acute care. These findings can inform planning for care of people with ABI in a publicly funded healthcare system.
非标准护理级别（ALC）天数指的是被那些在其他环境下接受护理更为合适的患者占用的医院床位。已发现非标准护理级别天数成本高昂，可能导致功能结局更差、运动技能下降以及康复住院时间延长。本研究探讨了与后天性脑损伤（ABI）患者急性护理非标准护理级别天数相关的因素。我们使用出院摘要数据库，通过国际疾病分类第10版编码来识别后天性脑损伤患者。在2007/08财年至2009/10财年期间，17.5%的创伤性脑损伤患者和14%的非创伤性脑损伤患者至少有1个非标准护理级别天数。显著的预测因素包括患有精神疾病合并症、年龄增长以及急性护理住院时间延长。这些研究结果可为公共资助医疗系统中后天性脑损伤患者的护理规划提供参考。
