Woznowski-Vu Arthur, Da Costa Christina, Turgeon-Provost Félix, Dagenais Kristin, Roy-Mathie Bianca, Aggban Martina, Preuss Richard
School of Physical and Occupational Therapy, McGill University.
School of Physical and Occupational Therapy, McGill University; Constance Lethbridge Rehabilitation Centre, Centre de recherche interdisciplinaire en réadaptation, Montreal.
Physiother Can. 2015 Fall;67(4):329-40. doi: 10.3138/ptc.2014-75.
To identify factors affecting length of stay (LOS) for adults participating in outpatient physical or occupational therapy programmes.
A scoping review of the literature was conducted using the Ovid MEDLINE, EMBASE, CINAHL, AMED, and Cochrane Library databases.
A total of 19 articles were retained from the search, and 2 additional articles were retrieved from grey literature (i.e., non-published sources). Personal factors affecting LOS are age and sex, both of which had inconsistent effects on LOS, and communication, language, physical, and cognitive difficulties, for which higher levels of function were generally associated with shorter LOS. Institutional factors affecting LOS were location, interdisciplinary communication, number of disciplines involved, and type of rehabilitation setting. Finally, two clinician-related factors-fewer treatment goals and a selection of evidence-informed treatment techniques-were associated with shorter LOS.
Research on factors affecting adult outpatient rehabilitation LOS is limited and inconsistent. A preliminary list of LOS factors was produced, but this topic should be further explored with the collaboration of researchers and clinical institutions.
确定影响参与门诊物理治疗或职业治疗项目的成年人住院时间（LOS）的因素。
使用Ovid MEDLINE、EMBASE、CINAHL、AMED和Cochrane图书馆数据库对文献进行范围综述。
检索共保留19篇文章，另外从灰色文献（即未发表来源）中检索到2篇文章。影响住院时间的个人因素包括年龄和性别，两者对住院时间的影响不一致，以及沟通、语言、身体和认知困难，功能水平较高通常与较短的住院时间相关。影响住院时间的机构因素包括地点、跨学科沟通、涉及的学科数量和康复环境类型。最后，两个与临床医生相关的因素——较少的治疗目标和选择循证治疗技术——与较短的住院时间相关。
关于影响成人门诊康复住院时间的因素的研究有限且不一致。列出了住院时间因素的初步清单，但这个主题应在研究人员和临床机构的合作下进一步探索。
