A retrospective study of 251 patients admitted to a multidisciplinary, neurorehabilitation unit with intensive care unit capabilities

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A retrospective study of 251 patients admitted to a multidisciplinary, neurorehabilitation unit with intensive care unit capabilities. / Kjeldsen, Simon; Søndergaard, Søren; Mikkelsen, Lone Ramer; Nielsen, Jørgen Feldbæk.

I: Disability and Rehabilitation, Bind 42, Nr. 4, 02.2020, s. 528-535.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{5a2f41d749b74a29888ceae12172942d,
title = "A retrospective study of 251 patients admitted to a multidisciplinary, neurorehabilitation unit with intensive care unit capabilities",
abstract = "Introduction: In Denmark, specialised neurorehabilitation is centralised in two centres; one is Hammel Neurocentre. The neurointensive stepdown unit at Silkeborg Regional Hospital offers intensive care in addition to specialised neurorehabilitation of patients transferring to Hammel. Knowledge on patient{\textquoteright}s characteristics and course of rehabilitation in this kind of setting is sparse. Objective: To characterise the patients, their change in function and to identify variables associated with referral time to Hammel. Methods: Functional scores and available covariates were extracted from hospital records on 251 patients admitted from 01 November 2011 to 31 July 2016. Statistical methods included logistic regression and paired tests. Results: Mean (standard deviation) time from injury to admission at the neurointensive stepdown unit was 30 (22) d, medians (interquartile range) of Functional Independence Measure and Early Functional Abilities increased significantly from 18 (18, 19) to 24 (18, 44) and 37 (30, 46) to 52 (43, 70), respectively, during admission (p < 0.01). Spontaneous ventilation and Early Functional Abilities score on admission were positively associated with early referral. Obesity and anoxic brain injury were negatively associated with early referral. Conclusions: This study demonstrated functional improvement in patients in a neurointensive stepdown unit and identified variables associated with early referral. The study indicated higher sensitivity of the Early Functional Abilities score as compared to the Functional Independence Measure.",
keywords = "Intensive care unit, acquired brain injury, early functional abilities, functional independence measure, mechanical ventilation, rehabilitation",
author = "Simon Kjeldsen and S{\o}ren S{\o}ndergaard and Mikkelsen, {Lone Ramer} and Nielsen, {J{\o}rgen Feldb{\ae}k}",
year = "2020",
month = feb,
doi = "10.1080/09638288.2018.1501772",
language = "English",
volume = "42",
pages = "528--535",
journal = "Disability and Rehabilitation",
issn = "0963-8288",
publisher = "Taylor & Francis ",
number = "4",

}

RIS

TY - JOUR

T1 - A retrospective study of 251 patients admitted to a multidisciplinary, neurorehabilitation unit with intensive care unit capabilities

AU - Kjeldsen, Simon

AU - Søndergaard, Søren

AU - Mikkelsen, Lone Ramer

AU - Nielsen, Jørgen Feldbæk

PY - 2020/2

Y1 - 2020/2

N2 - Introduction: In Denmark, specialised neurorehabilitation is centralised in two centres; one is Hammel Neurocentre. The neurointensive stepdown unit at Silkeborg Regional Hospital offers intensive care in addition to specialised neurorehabilitation of patients transferring to Hammel. Knowledge on patient’s characteristics and course of rehabilitation in this kind of setting is sparse. Objective: To characterise the patients, their change in function and to identify variables associated with referral time to Hammel. Methods: Functional scores and available covariates were extracted from hospital records on 251 patients admitted from 01 November 2011 to 31 July 2016. Statistical methods included logistic regression and paired tests. Results: Mean (standard deviation) time from injury to admission at the neurointensive stepdown unit was 30 (22) d, medians (interquartile range) of Functional Independence Measure and Early Functional Abilities increased significantly from 18 (18, 19) to 24 (18, 44) and 37 (30, 46) to 52 (43, 70), respectively, during admission (p < 0.01). Spontaneous ventilation and Early Functional Abilities score on admission were positively associated with early referral. Obesity and anoxic brain injury were negatively associated with early referral. Conclusions: This study demonstrated functional improvement in patients in a neurointensive stepdown unit and identified variables associated with early referral. The study indicated higher sensitivity of the Early Functional Abilities score as compared to the Functional Independence Measure.

AB - Introduction: In Denmark, specialised neurorehabilitation is centralised in two centres; one is Hammel Neurocentre. The neurointensive stepdown unit at Silkeborg Regional Hospital offers intensive care in addition to specialised neurorehabilitation of patients transferring to Hammel. Knowledge on patient’s characteristics and course of rehabilitation in this kind of setting is sparse. Objective: To characterise the patients, their change in function and to identify variables associated with referral time to Hammel. Methods: Functional scores and available covariates were extracted from hospital records on 251 patients admitted from 01 November 2011 to 31 July 2016. Statistical methods included logistic regression and paired tests. Results: Mean (standard deviation) time from injury to admission at the neurointensive stepdown unit was 30 (22) d, medians (interquartile range) of Functional Independence Measure and Early Functional Abilities increased significantly from 18 (18, 19) to 24 (18, 44) and 37 (30, 46) to 52 (43, 70), respectively, during admission (p < 0.01). Spontaneous ventilation and Early Functional Abilities score on admission were positively associated with early referral. Obesity and anoxic brain injury were negatively associated with early referral. Conclusions: This study demonstrated functional improvement in patients in a neurointensive stepdown unit and identified variables associated with early referral. The study indicated higher sensitivity of the Early Functional Abilities score as compared to the Functional Independence Measure.

KW - Intensive care unit

KW - acquired brain injury

KW - early functional abilities

KW - functional independence measure

KW - mechanical ventilation

KW - rehabilitation

U2 - 10.1080/09638288.2018.1501772

DO - 10.1080/09638288.2018.1501772

M3 - Journal article

C2 - 30303688

VL - 42

SP - 528

EP - 535

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 4

ER -