INTENSITY OF REHABILITATION AND LENGTH OF STAY

INTENSITY OF REHABILITATION AND LENGTH OF STAY
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DOI:
10.3109/02699059009026162
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发表时间:
1990-01-01
期刊:
影响因子:
1.9
通讯作者:
BLACKERBY W F
BLACKERBY W F
中科院分区:
医学4区
文献类型:
--
作者:
BLACKERBY W F

文献摘要

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本研究调查了两个医院为基础的昏迷和急性康复人群中不同水平的脑损伤康复强度对住院时间的影响。在美国不同地区的两家医院,康复强度从每天5小时增加到每天8小时,每周7天。在强度改变之前和之后对患者进行回顾性研究。受试者之间在年龄、教育程度、受伤时间或入院时的功能水平方面没有显著差异,无论是在医院之间还是在强度变化前后。结果表明,住院时间显着减少了31%的昏迷和急性组在两家医院。讨论了这些发现对临床治疗和社会政策的影响。
This study investigated the effects of different levels of brain injury rehabilitation intensity on length of stay in two hospital-based coma and acute rehabilitation populations. In two hospitals, in separate areas of the USA, rehabilitation intensity was increased from 5 h per day to 8 h per day, 7 days per week. Patients were studied retrospectively both before and after the change in intensity. There were no significant differences among subjects in age, education, time since injury or level of functioning on admission either across hospitals or from pre- to post-change-in-intensity. Results show that the length of stay significantly decreased 31% for both coma and acute groups in both hospitals. Implications of these findings for clinical treatment and social policy are discussed.