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首页> 外文期刊>Journal of Clinical Medicine and Research >Rehabilitation for Parkinsons disease: Analysis of the Australian rehabilitation outcomes dataset
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Rehabilitation for Parkinsons disease: Analysis of the Australian rehabilitation outcomes dataset

机译：帕金森病康复：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 Parkinson’s disease (PD) using the Australian Rehabilitation Outcomes Centre (AROC) database. De-identified data from the AROC database were 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 3351 case episodes, 59% were male, mean age 75 years, 90% were discharged to the community and 59% (n = 1956) were in the lowest functional classes (217, 218 and 219).? The majority of PD patients were treated in the private hospital system (74.6 versus 25.4%), and had a slightly shorter LOS compared with those treated in public facilities (16.3 versus 22.8 days, mean difference -6.5 days, 95% CI -7.3 to 5.6, p <0.001).? The FIM for all classes (216 - 219) showed significant functional improvement during the admission (p < 0.001).? As expected those in the most functionally impaired classes showed most change (FIM change: 14.8 in class 217, 15.6 in class 218, 14.3 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 = 0.305). 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 PD rehabilitation.
机译：使用澳大利亚康复成果中心（AROC）数据库检查帕金森氏病（PD）住院康复的结果。对2003年至2008年期间所有康复入院的AROC数据库中未识别的数据进行了分析，使用4个功能级别的类别。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3351例病例中，男性占59％，平均年龄75岁，90％出院，59％（n = 1956）属于功能最低的人群（217、218和219）。大多数PD患者在私立医院系统中接受了治疗（分别为74.6和25.4％），并且与在公共场所接受治疗的患者相比，LOS稍短（16.3和22.8天，平均差-6.5天，95％CI -7.3至5.6，p <0.001）。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 <0.001）。正如预期的那样，功能最弱的班级中的人表现出最大的变化（FIM更改：217级为14.8，218级为15.6，219级为14.3）。 FIM效率在217和218类中最高。逐年趋势是减少医院服务水平;但是，这并不显着（p = 0.305）。 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PD康复的结果进行更有意义的评估。

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