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首页> 外文期刊>British journal of neurosurgery >Acute neurorehabilitation versus treatment as usual
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Acute neurorehabilitation versus treatment as usual

机译：急性神经康复与常规治疗

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Several clinical and government reviews have recommended specialised rehabilitation services for those recovering from neurological insult or neurosurgical intervention. Despite this, provision of 'rapid access'/acute neurorehabilitation units is extremely limited in the UK. In some areas, millions of people have no access to such facilities. Numerous articles have indicated that delayed access to neurorehabilitation in the acute recovery stage may worsen clinical outcomes and increase length of stay for patients. However, there has been a lack of studies directly comparing clinical outcomes between matched samples of patients in acute neurorehabilitation units versus patients receiving treatment-as-usual. In a study believed to be the first of its kind, this paper: (A) Describes the rationale and evidence base for acute neurorehabilitation. (B) Provides a comparison of clinical outcome scores Functional Independence Measure/Functional Assessment Measure (FIM-FAM) and also length of stay times for both of the aforementioned groups. The results show that all outcome areas except the 'communication' domain saw clinically and statistically significant improvements in the acute neurorehabilitation group. Length of stay was significantly reduced in the acute neurorehabilitation group. The case for reviewing the provision of acute neurorehabilitation units is now even more urgent and difficult to ignore. ? 2013 The Neurosurgical Foundation.
机译：一些临床和政府的评论建议为从神经损伤或神经外科干预中康复的人提供专门的康复服务。尽管如此，在英国，“快速通行” /急性神经康复治疗单位的提供极为有限。在某些地区，数百万人无法使用此类设施。许多文章表明，在急性恢复期延迟进入神经康复治疗可能会恶化临床结局并延长患者的住院时间。然而，缺乏直接比较急性神经康复单元患者与接受常规治疗的患者之间的临床结果的研究。在一项认为是同类研究中尚属首次的研究中：（A）描述了急性神经康复的理论基础和证据基础。 （B）提供了上述两组的临床结局评分，功能独立性评估/功能评估评估（FIM-FAM）以及住院时间长度的比较。结果表明，在急性神经康复组中，除“交流”域外的所有结局领域在临床和统计学上均有显着改善。急性神经康复组的住院时间明显缩短。现在，审查急性神经康复单位的情况更加紧急，难以忽视。 ？ 2013神经外科基金会。

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