Maurer-Karattup Petra, Zasler Nathan, Thibaut Aurore, Poulsen Ingrid, Lejeune Nicolas, Formisano Rita, Løvstad Marianne, Hauger Solveig, Morrissey Ann-Marie
Head of Neuropsychology, SRH Fachkrankenhaus Neresheim (Specialty Hospital for Brain Injury), Neresheim, Germany.
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University. CMO and CEO, Concussion Care Centre of Virginia, Ltd. And Tree of Life Services, Inc, Richmond, Virginia, USA.
Brain Inj. 2022 Jun 7;36(7):850-859. doi: 10.1080/02699052.2022.2059813. Epub 2022 Jun 16.
The provision of rehabilitation services for people with disorders of consciousness (DoC) may vary due to geographical, financial, and political factors. The extent of this variability and the implementation of treatment standards across countries is unknown. This study explored international neurorehabilitation systems for people with DoC.
An online survey (SurveyMonkey®) was disseminated to all members of the International Brain Injury Association (IBIA) DoC Special Interest Group (SIG) examining existing rehabilitation systems and access to them.
Respondents (n = 35) were from 14 countries. Specialized neurorehabilitation was available with varying degrees of access and duration. Commencement of specialized neurorehabilitation averaged 3-4 weeks for traumatic brain injury (TBI) and 5-8 weeks for non-traumatic brain injury (nTBI) etiologies. Length of stay in inpatient rehabilitation was 1-3 months for TBI and 4-6 months for nTBI. There were major differences in access to services and funding across countries. The majority of respondents felt there were not enough resources in place to provide appropriate neurorehabilitation.
There exists inter-country differences for DoC neurorehabilitation after severe acquired brain injury. Further work is needed to implement DoC treatment standards at an international level.
由于地理、经济和政治因素，为意识障碍患者提供的康复服务可能存在差异。这种差异的程度以及各国治疗标准的实施情况尚不清楚。本研究探讨了针对意识障碍患者的国际神经康复系统。
向国际脑损伤协会（IBIA）意识障碍特别兴趣小组（SIG）的所有成员发放了一份在线调查问卷（SurveyMonkey®），以调查现有的康复系统及其可及性。
35名受访者来自14个国家。专门的神经康复服务在可及程度和持续时间上各不相同。创伤性脑损伤（TBI）患者开始接受专门神经康复的平均时间为3 - 4周，非创伤性脑损伤（nTBI）患者为5 - 8周。TBI患者住院康复的时间为1 - 3个月，nTBI患者为4 - 6个月。各国在服务可及性和资金方面存在重大差异。大多数受访者认为没有足够的资源来提供适当的神经康复服务。
严重获得性脑损伤后意识障碍的神经康复在国家间存在差异。需要进一步开展工作以在国际层面实施意识障碍治疗标准。
