Cost effectiveness of inpatient rehabilitation in patients with brain injury
Cost effectiveness of inpatient rehabilitation in patients with brain injury
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DOI：
10.7861/clinmedicine.16-2-109
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发表时间：
2016-04-01
影响因子：
4.4
通讯作者：
Carroll, Aine
中科院分区：
文献类型：
--
作者：
Cooney, Marie Therese;Carroll, Aine
获得性脑损伤后的康复可以改善健康结果，减少残疾，提高生活质量。我们评估了2011年在爱尔兰国家第三级专家康复中心入院的脑损伤患者脑损伤后住院康复的成本效益。记录患者入院和出院时的伤残评定量表(DRS)评分。康复方案节省的费用是根据入院时和出院时的直接护理费用之间的差额计算的。护理的直接费用是根据病人的残疾程度计算护理助理所需的每周费用，或在需要时计算每日疗养院床位费用。在63名患者中，41名患者有完整的入院和出院DRS信息。在入院时(2.3分，在轻度和中度依赖之间)和出院时(1.1分，在特殊环境下独立)，DRS评分以及因此平均功能水平有显著差异，p
Rehabilitation following acquired brain injury improves health outcomes, reduces disability, and improves quality of life. We assessed the cost effectiveness of inpatient rehabilitation after brain injury in individuals with brain injury admitted to the Irish national tertiary specialist rehabilitation centre in 2011. Patients' score on the Disability Rating Scale (DRS) was recorded on admission and at discharge after intensive inpatient rehabilitation. Cost savings attributed to the rehabilitation programme were calculated as the difference between direct care costs on admission and discharge. Direct costs of care were calculated as the weekly cost of the care-assistant hours required to care for patients on the basis of their level of disability or daily nursing-home bed cost when this was required. Of 63 patients, complete DRS information for admission and discharge was available for 41. DRS scores, and therefore average levels of functioning, differed significantly at admission (2.3, between mildly and moderately dependent) and discharge (1.1, independent in special environments, p