Trade-Offs with rehabilitation Effectiveness (REs) and Efficiency (REy) in a sample of Italian disabled persons in a in post-acuity rehabilitation unit
Trade-Offs with rehabilitation Effectiveness (REs) and Efficiency (REy) in a sample of Italian disabled persons in a in post-acuity rehabilitation unit
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DOI：
10.7416/ai.2020.2356
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发表时间：
2020-01-01
影响因子：
2
通讯作者：
Bernetti, A.
中科院分区：
文献类型：
--
作者：
Damiani, C.;Mangone, M.;Bernetti, A.
背景在意大利被称为“代码56”的强化康复中心接收需要从急性发作中恢复的患者。不同的康复影响指数已被提出作为复合康复结果测量率的改善，由于康复计划。在康复治疗中，最广泛使用的日常生活活动能力指标是改良的Barthel指数。基于Barthel指数的康复影响指标为康复效果和康复效率。我们研究的目的是评估Barthel指数入院评分和住院时间的康复效果和康复效率之间的权衡，以及优化两个指标的理想范围。我们回顾性评价了2006年1月至2018年3月期间罗马San Raffaele Pisana研究与保健科学研究所重症康复科收治的所有患者的数据。我们研究的主要结局指标是患者住院期间的康复有效性和康复效率。结果。分析了3,466例患者的数据库，并计算了康复效果和康复效率指数。我们计算了康复效果与康复效率的中位数秩比，并与Barthel指数评分进行比较。我们计算了康复效果与康复效率的中位秩比与Barthel指数评分和住院天数。在Barthel指数32 ~ 42分的范围内，康复效果与康复效率值的中位秩比为1。康复效果与康复效率值的中位秩比为1，住院时间为33天。在我们的研究中，我们计算了康复有效性和康复效率之间的权衡，涉及入院Barthel指数评分和住院时间，研究对象为3，466例骨科（1，707例）和神经系统（1，759例）疾病患者。医疗团队的每个成员在做出有关康复服务的决定时都应该意识到这种权衡。
Background. Intensive Rehabilitation Centres, known in Italy as "code 56", admit patients who need to recover from an acute episode. Different Rehabilitation Impact Indices have been proposed as composite rehabilitation outcomes measuring the rate of improvement due to a rehabilitation program. The most widely employed measure the performance of Activities of daily living in rehabilitation is the modified Barthel Index. The Barthel Index-based Rehabilitation Impact Indices are the Rehabilitation Effectiveness and the Rehabilitation Efficiency.Aim. The aim of our study was to evaluate the trade-off between Rehabilitation Effectiveness tayand Rehabilitation Efficiency with respect to the Barthel Index admission score and the Length Of Stay, and their ideal ranges that optimized both indices.Methods. We retrospectively evaluated data of all patients admitted to intensive rehabilitation unit of the Scientific Institute for Research and Healthcare San Raffaele Pisana of Rome, from January 2006 to March 2018. The primary outcome measures of our study were patient's Rehabilitation Effectiveness and Rehabilitation Efficiency during the hospital stay.Results. A database of 3,466 patients was analysed and the Rehabilitation Effectiveness and Rehabilitation Efficiency indexes were calculated. We calculated the median rank ratio of the Rehabilitation Effectiveness to the Rehabilitation Efficiency against Barthel Index scores. We calculated the median rank ratio of the Rehabilitation Effectiveness to Rehabilitation Efficiency against Barthel Index scores and days of stay. The median rank ratio of the Rehabilitation Effectiveness to the Rehabilitation Efficiency value were 1 in the range of Barthel Index scores from 32 to 42. The median rank ratio of the Rehabilitation Effectiveness to Rehabilitation Efficiency value were 1 for a Length of Stay corresponding to 33 days.Conclusions. In our study we calculated the Trade-offs between Rehabilitation Effectiveness and Rehabilitation Efficiency with respect to admission Barthel Index Score and Length Of Stay in a population of 3,466 patients affected by orthopedic (1,707) and neurological (1,759) diseases. Every member of the healthcare team should be aware of such trade-offs when they make decisions about rehabilitation services.