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首页> 外文期刊>Journal of rehabilitation medicine : >Inpatient stroke rehabilitation: a comparative study of admission criteria to stroke rehabilitation units in four European centres.
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Inpatient stroke rehabilitation: a comparative study of admission criteria to stroke rehabilitation units in four European centres.

机译：住院中风康复：对四个欧洲中心的中风康复病房入院标准的比较研究。

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OBJECTIVE: To explore the clinical and non-clinical factors involved in decision-making concerning admission to European stroke rehabilitation units. DESIGN: Observational study on case-mix at intake combined with questionnaires and semi-structured interviews with the medical consultants of each European stroke rehabilitation unit. PATIENTS AND SETTINGS: Clinical data on 532 first-ever patients after stroke. Medical consultants from 6 European stroke rehabilitation units in 4 European countries (UK, Belgium, Germany and Switzerland). METHODS: Standardized clinical assessments within 2 days after admission. Questionnaires to each medical consultants followed by a qualitative round of semi-structured interviews. RESULTS: Case-mix of patients after stroke was significantly different between European stroke rehabilitation units. Clinical criteria for admission were seldom explicit and were evaluated differently between the European stroke rehabilitation units. In the UK units, diagnosis of stroke was the only criterion for admission. In the Belgian, German and Swiss units, pre-morbid conditions were taken into account in admission decisions. The likelihood of discharge home was considered highly important in the Swiss units. CONCLUSION: Case-mix differences at intake could be linked to different appraisals of clinical and non-clinical factors of patients after stroke. The findings urge us to be more explicit about decision-making processes at admission in order to provide a more comprehensive insight into the interplay between context and process of care.
机译：目的：探讨参与欧洲卒中康复部门决策的临床和非临床因素。设计：对摄入病例混合的观察性研究，结合问卷调查和对每个欧洲卒中康复部门医疗顾问的半结构化访谈。病人和环境：532例首发中风后的患者的临床数据。来自欧洲4个国家（英国，比利时，德国和瑞士）的6个欧洲中风康复部门的医学顾问。方法：入院后2天内进行标准化临床评估。对每位医疗顾问进行问卷调查，然后进行定性的半结构化访谈。结果：欧洲卒中康复部门之间的卒中患者病例组合显着不同。入院的临床标准很少明确，欧洲卒中康复部门之间的评估也有所不同。在英国单位中，中风诊断是入院的唯一标准。在比利时，德国和瑞士的部队中，入院决定考虑了病前条件。在瑞士部队中，被遣返的可能性非常重要。结论：摄入量的混合情况差异可能与中风后患者对临床和非临床因素的不同评估有关。这些发现敦促我们对入院时的决策过程更加明确，以便对情境和护理过程之间的相互作用提供更全面的了解。

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