儿科住院康复服务与儿童功能结局之间的关联：法赫德国王医疗城的经验
Association Between Pediatric Inpatient Rehabilitation Services and Children's Functional Outcomes: King Fahad Medical City Experience.
作者信息
Madi Sanaa Mohammed, Alraddadi Naif Ibrahim
机构信息
Physical Therapy Department, King Fahad Medical City, Riyadh, Saudi Arabia.
出版信息
Rehabil Process Outcome. 2020 Jun 15;9:1179572720928394. doi: 10.1177/1179572720928394. eCollection 2020.
BACKGROUND
Disability may affect children's performance of functional activities. This may translate to difficulties in returning to home and/or school. It has been documented that intensive rehabilitation programs for children with disabilities lead to an improvement in their functional abilities. Wee-FIM is a valid and reliable outcome measure that is used commonly with children undergoing rehabilitation.
OBJECTIVES
To study changes in the functional status of children admitted to a specialized pediatric inpatient rehabilitation unit.
DESIGN
A retrospective cohort study.
SETTING
King Fahad Medical City-Rehabilitation Hospital, Riyadh, Saudi Arabia.
METHODS
Investigators reviewed records of children admitted to a pediatric rehabilitation unit between January 1, 2012, and December 31, 2017. The outcome measures used were rehabilitation length of stay (LOS), Wee-FIM gain, and Wee-FIM efficiency.
RESULTS
The total number of records included in this study was 361 records. Sixty percent of the children were boys. The mean age was 8.7 ± 3.8 years (range, 3-17 years). Children with cerebral palsy accounted for 45.2% of the children. The mean LOS was 43 days. Children with brain tumors had the shortest LOS compared with children with other diagnoses. Mean (SD) Wee-FIM efficiency was 0.58 (±0.6). Highest Wee-FIM efficiency was observed in children with brain tumors. Average Wee-FIM gain was 20 (±15). The highest functional gain was 27 in children with brain tumors while the lowest was 16 in children with cerebral palsy.
CONCLUSIONS
Intensive inpatient rehabilitation program is associated with improvement in functional performance in children with a variety of impairments and disabilities.
背景
残疾可能会影响儿童的功能活动表现。这可能会导致他们在回家和/或返校方面出现困难。有文献记载，针对残疾儿童的强化康复计划可提高他们的功能能力。小儿功能独立性测量量表（Wee-FIM）是一种有效且可靠的结果测量工具，常用于接受康复治疗的儿童。
目的
研究入住专业儿科住院康复病房的儿童功能状态的变化。
设计
一项回顾性队列研究。
地点
沙特阿拉伯利雅得法赫德国王医疗城康复医院。
方法
研究人员回顾了2012年1月1日至2017年12月31日期间入住儿科康复病房的儿童记录。所使用的结果测量指标为康复住院时间（LOS）、小儿功能独立性测量量表得分增益及小儿功能独立性测量量表效率。
结果
本研究纳入的记录总数为361份。60%的儿童为男孩。平均年龄为8.7±3.8岁（范围为3至17岁）。脑瘫儿童占儿童总数的45.2%。平均住院时间为43天。与其他诊断的儿童相比，脑肿瘤儿童的住院时间最短。小儿功能独立性测量量表平均（标准差）效率为0.58（±0.6）。脑肿瘤儿童的小儿功能独立性测量量表效率最高。小儿功能独立性测量量表平均得分增益为20（±15）。脑肿瘤儿童的功能增益最高为27，而脑瘫儿童的最低为16。
结论
强化住院康复计划与各种损伤和残疾儿童的功能表现改善相关。
Zotero 插件