Caruana Erin L, Kuys Suzanne S, Clarke Jane, Bauer Sandra G
a School of Health and Rehabilitation Sciences , University of Queensland , Brisbane , Australia.
b Department of Physiotherapy , St Andrew's War Memorial Hospital , Brisbane , Australia.
Disabil Rehabil. 2017 Aug;39(17):1738-1743. doi: 10.1080/09638288.2016.1211181. Epub 2016 Aug 16.
This study determined the impact of a pragmatic 6-day physiotherapy service on length of stay, functional independence, gait and balance in people undergoing inpatient rehabilitation, compared to a 5-day service.
A prospective cohort study with historical comparison was undertaken in a mixed inpatient rehabilitation unit. Intervention period participants (2011) meeting inclusion criteria were eligible for a 6-day physiotherapy service. All other participants, including the historical cohort (2010) received usual care (5-day physiotherapy). Length of stay, functional independence, gait and balance performance were measured.
A total of 536 individuals participated in this study; 270 in 2011 (60% received 6-day physiotherapy) and 266 in 2010. Participants in 2011 showed a trend for reduced length of stay (1.7 days, 95%CI -0.53 to 3.92) compared to 2010. Other measures showed no significant differences between cohorts. In 2011, those receiving 6-day physiotherapy were more dependent, but showed significantly improved functional independence and balance compared to those receiving 5-day physiotherapy (p < 0.040) without impacting length of stay.
Implementing a 6-day physiotherapy service in a "real-world" rehabilitation setting demonstrated a trend towards reduced length of stay, and improved functional gains. This service could lead to cost-savings for hospitals and improved patient flow. Implications for Rehabilitation "Real-world" implementation of a 6-day physiotherapy service in rehabilitation shows a trend for reducing length of stay. This reduction in length of stay may lead to cost-savings for the hospital system, and improve patient flow into rehabilitation. Patients receiving 6-day physiotherapy made significant gains in balance and functional independence compared to patients receiving 5-day physiotherapy services in the rehabilitation setting.
本研究旨在确定与5天理疗服务相比，务实的6天理疗服务对接受住院康复治疗患者的住院时间、功能独立性、步态和平衡的影响。
在一个综合住院康复单元进行了一项有历史对照的前瞻性队列研究。2011年符合纳入标准的干预期参与者有资格接受6天理疗服务。所有其他参与者，包括历史队列（2010年），接受常规护理（5天理疗）。测量住院时间、功能独立性、步态和平衡表现。
共有536人参与了本研究；2011年有270人（60%接受6天理疗），2010年有266人。与2010年相比，2011年的参与者住院时间有缩短趋势（1.7天，95%置信区间-0.53至3.92）。其他指标在队列之间无显著差异。2011年，接受6天理疗的患者依赖性更强，但与接受5天理疗的患者相比，其功能独立性和平衡能力有显著改善（p<0.040），且不影响住院时间。
在“现实世界”的康复环境中实施6天理疗服务显示出住院时间缩短的趋势，并改善了功能恢复。这项服务可为医院节省成本并改善患者流量。康复启示 在康复中“现实世界”实施6天理疗服务显示出住院时间缩短的趋势。住院时间的缩短可能为医院系统节省成本，并改善患者进入康复治疗的流程。与在康复环境中接受5天理疗服务的患者相比，接受6天理疗的患者在平衡和功能独立性方面有显著改善。
