The Outcomes of Intermediate Care Rehabilitation in Patong Hospital
Keywords:
Intermediate care,, Rehabilitation outcome,, Rehabilitation effectiveness,, Rehabilitation efficiency,, Functional gain.Abstract
Background: Intermediate care (IMC) is one of the services to improve the quality of life for the patients after the critical phase that has stable medical conditions but has limitation to perform the full activity of daily living. It is important to have intermediate care services by multidisciplinary team for at least 6 months after the acute injury. IMC should be in every hospital for patients who has been diagnosed with Stroke, spinal cord injury and traumatic brain injury. The intermediate care rehabilitation was conducted by multidisciplinary team from Patong hospital and with the assistant of Vachira Phuket hospital. We should therefore, study and analyze the results in order to manage and develop the work system to be more efficient.
Objective: To study the outcomes of the intermediate care services, including with functional gain, the effectiveness and efficiency of the rehabilitation at Patong hospital.
Materials and methods: This is a retrospective study of intermediate care service in Patong hospital during October 2019 to September 2021. Demographic data, Barthel index at admission and discharge, Total time for rehabilitation and complication were extracted from the medical records. Functional gain, Rehabilitation effectiveness and rehabilitation efficiency were calculated.
Results: There were 38 eligible patients included in this study; 25 male and 13 females, 16 Ischemic stroke, 10 hemorrhagic stroke, 9 Traumatic brain injury, 2 incomplete spinal cord injury, 1 complete spinal cord injury. Aged 58.13 ±17.53 years. At discharge, The BI increased with mean functional gain was 7.15(SD 4.44), mean rehabilitation effectiveness was 94.73% (SD 22.62), Mean rehabilitation efficiency was 1.46 (SD1.79) Average total time for rehabilitation 9.34 (SD7.49). 5 cases with complications were observed due to the progression of the patient’s underling diseases. The total time for rehabilitation was correlated with functional gain (r=0.452, p=0.004)
Conclusion: The study shows that tailored therapy can significantly improve functional outcomes in a variety of neurological patients, leading to measurable gains in daily living abilities, despite underlying medical conditions. Furthermore, the favorable correlation between the length of rehabilitation and functional development highlights the need of long-term, individualized therapy in fostering recovery.
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