[Determinants for the Access to Follow-Up Rehabilitation Concerning Cardiological Patients after Surgery]. / Einflussfaktoren des Zugangs in die Anschlussrehabilitation (AHB) von operativ versorgten kardiologischen Patienten.

OBJECTIVE: The aim was to analyze individual and environmental factors influencing the access to follow-up rehabilitation of cardiological patients after surgery. METHODS: An exploratory, cross-sectional study without intervention was conducted. A standardized questionnaire was used for data collection in two acute care clinics at cardiological and cardiosurgical wards. Multivariate logistic regression was used to measure the influence of different factors on the access to follow-up rehabilitation. In 61.0% of the patients a follow-up rehabilitation was granted. RESULTS: 210 patients were included. The average age was 52.1 years, 81.0% were male. There were significant differences between the groups with and without follow-up rehabilitation concerning age (p=0.018), sex (p=0.007), the PAREMO-scales "Änderungsbereitschaft" (p=0.011) and "Skepsis" (p=0.005) and the aim of rehabilitation to learn skills in dealing with the disease (p=0.043). The Barthel-Index was not significant different between the two groups. The chance to get a follow-up rehabilitation was significantly increased by indications corresponding to the "AHB-Indikationskatalog" (p=0.001; OR=5.76) and after request of the patients to get a follow-up rehabilitation (p<0.001; OR=17.91). DISCUSSION: The access to follow-up rehabilitation was predominantly indication-specific and depended on patients' request of cardiological patients after surgery. A follow-up rehabilitation requires an adequate rehabilitation capacity (Barthel-Index). However the effect of the Barthel-Index on the access to follow-up rehabilitation was not significant. CONCLUSION: It is still in question, to what extent the personal patient's wish can be linked to parameters of rehabilitation capacity. Furthermore it is necessary to develop concepts which increase the influence of rehabilitation capacity on the decision of a follow-up rehabilitation.

[Prevalence and Risk Factors for Motor Developmental Delays in 3- to 6-Year-Old Preschool Children in Mecklenburg-Western Pomerania]. / Prävalenzen und Risikofaktoren motorischer Entwicklungsgefährdungen bei 3- bis 6-jährigen Kindergartenkindern in Mecklenburg-Vorpommern (M-V).

BACKGROUND: School entry examinations in Mecklenburg-Western Pomerania show a high prevalence of motor developmental delays (13.7%). In this study possible risk factors (RF) were analysed. METHODS: The study was performed as a cluster-randomised, controlled study in 12 preschools in M-V. The "Dortmund Developmental Screening for Preschools DESK 3-6" was used to detect developmental risks. Parents received a standardised questionnaire. RF were analysed in binary logistic regressions for fine (FM) and gross motor (GM) skills. RESULTS: N=599 children were included in the analysis. RF for FM and GM are irregular utilisation of preschools (FM: OR: 2.63; p=0.009; 95% CI: 1.27-5.45; GM: OR: 2.56; p=0.021; 95% CI: 1.15-5.68) and male sex (FM: OR: 2.97; p<0.001; 95% CI: 1.93-4.57; GM: OR: 1.87; p=0.016; 95% CI: 1.12-3.10). A low parental socioeconomic status is an RF for the development of GM (OR: 3.10; p=0.036; 95% CI: 1.08-8.95). An age-adequate development of FM is a protective factor for GM development (OR: 0.17; p<0.001; 95% CI: 0.10-0.29). CONCLUSION: Regular preschool attendance is beneficial for motor development. RESULTS confirm the adequacy of the setting preschool for interventions.