Survey of the intensity of treatment and nursing of patients in neurologic rehabilitation centers in Bavaria, Germany

Author(s): Cerny-Provaznikova, R., Laub, M., Ott-Tannenbaum, B., Weichenmeier, A.

Journal/Book: Physikalische Medizin Rehabilitationsmedizin Kurortmedizin. 1994; 4/6: 220-224.

Abstract: To estimate the need of neurologic rehabilitation capacities, a survey was taken involving all Bavarian hospitals specialized in the rehabilitation of neurologic patients. The hospitals were asked to report diagnosis, sex, age and Barthel-Index for each patient an a fixed day. Additional aggravating facts like tracheostoma, orienting- or communication disorder or swallowing difficulties were reported. If one of these complications was found then a Barthel-index of more than 50 points was reduced to 50 points. The so calculated index was called a modified Barthel-index (BIM). The data of 22 hospitals (10 acute care hospitals covering 362 beds, 10 rehabilitation centers covering 1153 beds and 2 children's hospitals covering 67 beds) could be analyzed. 87 % of the patients in acute care hospitals, 42 % of patients in rehabilitation centers and 73 % in children's hospitals had a BIM of less than 100, i.e. they were handicapped in some way. The data for BIM-values of 0 points (totally dependent an external help) were 14 %, 2 % and 28 % for acute care, rehabilitation and children's hospitals, respectively. Stroke was the diagnosis mentioned most frequently with 150 in acute care hospitals, 309 in rehabilitation centers and 6 patients in children's hospitals. Severe head injuries were typically concentrated in acute care hospitals (89), less in rehabilitation centers (26) and in children's hospitals (10).The median BIM-values for stroke patients \%ere 50 points in the acute care group, 50 points in the rehabilitation group and 0 points in the children's group. The corresponding figures for patients with severe head injuries read 10, 50 and 15 BIM-points, respectively.

Keyword(s): Neurologische Rehabilitation

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