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Rehabilitation for Guillain Barre syndrome: Analysis of the Australian rehabilitation outcomes dataset

机译:Guillain Barre综合征的康复:澳大利亚康复结果数据集的分析

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To examine the outcomes of inpatient rehabilitation for Guillain Barre Syndrome (GBS) survivors using the Australian Rehabilitation Outcomes Centre (AROC) database.?De-identified data from the AROC database was analysed for all rehabilitation admissions during 2003 - 2008, using 4 classes for functional level. The outcomes included: Functional Independence Measure (FIM) scores and FIM efficiency, hospital length of stay (LOS) and discharge destination. Of 577 case episodes 58% were male, mean age 56.7 years, 91% were discharged to the community and 64.8% (n = 374) were in the lowest functional classes (217, 218 and 219). The majority of GBS survivors were treated in the public hospital system (434 versus 143), and had a slightly longer LOS compared with patients treated in private facilities (30 versus 24 days, p 0.004). The FIM for all classes (216 - 219) showed significant functional improvement during the admission (p < 0.000). As expected those in the most functionally impaired classes showed most change (FIM change: 10 in class 216, 37 in class 219). FIM efficiency was highest in classes 217 and 218. The year -to -year trend was towards reducing hospital LOS however this was not significant (p = 0.721). The AROC dataset is a valuable research tool for describing rehabilitation outcomes. However more specific information needs to be collected alongside the core AROC data to allow more meaningful evaluation of outcomes for GBS rehabilitation.
机译:为了使用澳大利亚康复成果中心(AROC)数据库检查吉兰·巴雷综合症(GBS)幸存者的住院康复结果.2003年至2008年期间,分析了AROC数据库中所有康复入院患者的去身份化数据,使用4类功能级别。结果包括:功能独立性评估(FIM)评分和FIM效率,住院时间(LOS)和出院目的地。在577例病例中,男性占58%,平均年龄56.7岁,其中91%出院,最低功能类别(217、218和219)的占64.8%(n = 374)。大多数GBS幸存者在公立医院系统中接受了治疗(434比143),与在私人机构接受治疗的患者相比,LOS稍长(30对24天,P = 0.004)。所有班级(216-219)的FIM在入院期间均显示出明显的功能改善(p <0.000)。正如预期的那样,功能最弱的班级中的人员显示出最大的变化(FIM更改:216级中为10,219级中为37)。 FIM效率在217类和218类中最高。逐年趋势是减少医院LOS,但这并不显着(p = 0.721)。 AROC数据集是描述康复结果的有价值的研究工具。但是,需要与AROC核心数据一起收集更具体的信息,以便对GBS康复的结果进行更有意义的评估。

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