Effect of shortened length of stay on functional and educational outcome after pediatric rehabilitation.
Effect of shortened length of stay on functional and educational outcome after pediatric rehabilitation.
复制标题
缩短住院时间对儿科康复后功能和教育结果的影响。
DOI：
10.1097/01.phm.0000104667.81620.fa
复制
发表时间：
2004
影响因子：
3
通讯作者：
Blackman,JamesA
中科院分区：
文献类型：
--
作者：
Rice,SydneyA;Allaire,Janet;Elgin,Kevin;Farrell,Walter;Conaway,Mark;Blackman,JamesA
Rice SA，Allaire J，埃尔金K，Farrell W，Conaway M，Blackman JA：缩短住院时间对儿科康复后功能和教育结果的影响。美国医学物理康复杂志2004; 83：27- 32.本研究的目的是评估1997 - 2001财政年度5年期间住院儿科康复单位住院时间的变化及其对有效性和重返学校的影响。设计我们回顾了1997 - 2001财政年度期间前瞻性收集的321名儿童的队列数据。结果1997 ~ 2001年住院天数明显缩短，平均住院天数分别为58.9、43.5、30.7、40.9和24.0天。在调整年龄、性别、入院诊断、入院严重程度和健康保险类型后，住院时间的变化仍然显着下降。通过入院和出院时Weekly ®评分的变化测量的有效性的平均变化没有差异。有显着的差异，跨年的教育安置的儿童在出院时，与出院到教室为基础的教育service.ConclusionThere的儿童比例呈下降趋势住院时间在5年期间的儿童在此儿科康复设置减少。在这段时间内，通过功能结果测量的康复效果没有变化。然而，将返回课堂环境作为重新融入日常活动的标志，返回到类似社区参与水平的儿童较少。
Rice SA, Allaire J, Elgin K, Farrell W, Conaway M, Blackman JA: Effect of shortened length of stay on functional and educational outcome after pediatric rehabilitation. Am J Phys Med Rehabil 2004; 83: 27–32.ObjectiveThe purpose of this study was to assess changes in the length of stay and its effect on effectiveness and return to school in an inpatient pediatric rehabilitation unit during a 5-yr period from fiscal year 1997 through 2001.DesignWe reviewed prospectively collected data for a cohort of 321 children during fiscal years 1997–2001.ResultsLength of stay was significantly shortened, with mean lengths of stay of 58.9, 43.5, 30.7, 40.9, and 24.0 days in years 1997 through 2001, respectively. Change in length of stay remained significantly decreased after adjusting for age, sex, admission diagnosis, admission severity, and type of health insurance. There was no difference in mean change in effectiveness measured by change in admission and discharge WeeFIM® ratings. There were significant differences across years in the educational placement of children at discharge, with a declining trend in the proportion of children discharged to classroom-based educational services.ConclusionThere was a reduction in inpatient length of stay during a 5-yr period for children in this pediatric rehabilitation setting. During this time, there was no change in the effectiveness of rehabilitation as measured by functional outcome. However, using return to a classroom setting as a marker of reintegration into routine activities, fewer children returned to a similar level of community participation.