The utilization and demographic characteristics of in-hospital rehabilitation for acute vestibular neuritis in Japan
The utilization and demographic characteristics of in-hospital rehabilitation for acute vestibular neuritis in Japan
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日本急性前庭神经炎院内康复的利用情况和人口特征
DOI：
10.1016/j.anl.2022.01.010
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发表时间：
2022
影响因子：
1.7
通讯作者：
Fushiki Hiroaki
中科院分区：
文献类型：
--
作者：
Kamo Tomohiko;Momosaki Ryo;Ogihara Hirofumi;Azami Masato;Tanaka Ryozo;Kato Takumi;Tsunoda Reiko;Fushiki Hiroaki
目的探讨使用日本医学数据中心（JMDC）databases.MethodsWe收集的信息，至少20岁的患者被诊断为VN（ICD-10代码：H81.2）的利用率和人口统计学特征的急性前庭神经炎患者住院康复。我们定义在医院的康复服务使用支付保险索赔至少一个会话的康复在admission.ResultsWe确定了809例患者，符合本研究，其中，59例（7.3%）接受康复，而750例患者没有。住院康复总时间中位数为140 min，平均每天康复时间中位数为11.7 min。多因素Logistic回归分析显示，影响患者康复服务利用的因素依次为初级保健、内科、年龄结论（1）急性VN患者对康复服务的利用率较低;（2）年龄、内科住院、初级保健住院与康复服务的使用有关。
ObjectiveTo investigate the utilization and demographic characteristics of in-hospital rehabilitation for patients with acute vestibular neuritis using the Japan Medical Data Center (JMDC) database.MethodsWe gathered information on patients that were at least 20 years of age who were admitted with a diagnosis of VN (ICD-10 code: H81.2). We defined in-hospital rehabilitation service use as payment of insurance claims for at least one session of rehabilitation during admission.ResultsWe identified 809 patients that were eligible for this study; among these, 59 patients (7.3%) received rehabilitation while 750 patients did not. The median total time spent and the median time per day in inpatient rehabilitation were 140 min and 11.7 min, respectively. Factors that significantly affected the rehabilitation service use, in order of greater odds, were primary care, internal medicine, and age in multivariate logistic regression analysis (odds ratio = 4.42, 2.17, 1.33, respectively).ConclusionsThis study showed that (1) utilization of rehabilitation services by acute patients with VN was low; and (2) age, admission to internal medicine, and admission to primary care were associated with the use of rehabilitation services.