Prescribed versus actual length of stay and inpatient neurorehabilitation outcome for brain dysfunctional patients.
Arch Phys Med Rehabil
; 78(6): 621-9, 1997 Jun.
Article
en En
| MEDLINE
| ID: mdl-9196470
ABSTRACT
OBJECTIVE:
To determine (1) whether brain dysfunctional patients have better rehabilitation outcomes if they receive prescribed length of stay (LOS) versus less than prescribed and (2) if LOS and cognitive status relate to goal attainment.DESIGN:
Prospective inception cohort study. STUDYSETTING:
Medical center and a neurological institute.PARTICIPANTS:
One hundred six patients with acute static brain lesions. MAIN OUTCOMEMEASURES:
Documentation of goal attainment at discharge and maintenance of goals 6 months after discharge. All subjects also received neuropsychological tests at admission and discharge.RESULTS:
Patients who received prescribed LOS achieved their rehabilitation goals at discharge more frequently than patients who received less than prescribed LOS. There was, however, no difference between groups as to maintenance of rehabilitation goals 6 months after discharge. There was no relation between number of days spent in neurorehabilitation and number of goals achieved at discharge. Cognitive status at discharge was strongly related to achieving rehabilitation goals.CONCLUSION:
Although LOS may not specifically relate to goal attainment in a heterogeneous group of brain dysfunctional patients, patients who receive the prescribed LOS and who show notable improvement in cognitive status tend to achieve rehabilitation goals, compared with patients who do not.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Encefalopatías
/
Evaluación de Resultado en la Atención de Salud
/
Tiempo de Internación
Tipo de estudio:
Observational_studies
Aspecto:
Patient_preference
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
1997
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA