Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Frankston, Australia.
Monash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.
Dev Med Child Neurol. 2020 Aug;62(8):939-945. doi: 10.1111/dmcn.14533. Epub 2020 Apr 1.
To retrospectively profile acute hospital admissions for a defined cohort of adults with cerebral palsy (CP).
Five years of health service data were interrogated to identify acute health service use by adults with CP. Admission types were described, admission reasons categorized using International Classification of Diseases, 10th Revision codes, and length of stay (LOS) calculated. Any differences between paediatric and adult subsets were explored.
Individuals with CP constituted 2922 admissions. Of these, 850 (29%) were adult admissions. There were significant differences between admission reasons for paediatric and adult cohorts, with adults predominantly seeking hospital admission for emergency rather than planned care (emergency reason: adults 62.1%, paediatrics 25.2%; p<0.001). The median adult admission LOS was longer than that of children (p<0.001). The primary diagnosis admission reason in the adult data set was respiratory illness (20%) followed closely by gastrostomy dysfunction (19%).
Adults with CP predominantly access acute hospital services for emergency health care. A high frequency of admissions is associated with respiratory illness and gastrostomy dysfunction in adults with CP. What this paper adds Adults with cerebral palsy (CP) access acute inpatient services for emergency health care. Hospital admissions are predominantly because of respiratory illness and gastrostomy dysfunction. Admission length of stay is longer for adults than children. Many adults with CP require hospitalization more than once a year.
回顾性分析一组特定成年脑瘫患者的急性住院情况。
调查了 5 年的卫生服务数据，以确定脑瘫成年人的急性卫生服务利用情况。描述了入院类型，使用国际疾病分类第 10 版代码对入院原因进行分类，并计算了住院时间（LOS）。探讨了儿科和成人亚组之间的任何差异。
脑瘫患者共入院 2922 人次。其中，850 人次（29%）为成人入院。儿科和成人队列的入院原因存在显著差异，成人主要因急诊而不是计划护理住院（急诊原因：成人 62.1%，儿科 25.2%；p<0.001）。成人入院 LOS 中位数长于儿童（p<0.001）。成人数据集中主要诊断入院原因为呼吸系统疾病（20%），紧随其后的是胃造口功能障碍（19%）。
成年脑瘫患者主要因急诊医疗服务而获得急性住院服务。呼吸系统疾病和胃造口功能障碍在成年脑瘫患者中频繁入院。本文增加的内容：脑瘫（CP）患者因急诊医疗需要而使用急性住院服务。住院的主要原因是呼吸系统疾病和胃造口功能障碍。成人的住院时间比儿童长。许多成年脑瘫患者每年需要住院治疗一次以上。
