| Author/Editor | Rode, Neža; Šavrin, Rajmond | |
| Title | Vpliv ravni in obsega okvare hrbtenjače na funkcijski izid rehabilitacije in trajanje hospitalizacije pri bolnikih z okvaro hrbtenjače | |
| Translated title | Effect of level and extent of spinal cord injury on functional outcome and duration of in-patient rehabilitation in spinal cord injured patients | |
| Type | članek | |
| Vol. and No. | Letnik 13, št. 3 | |
| Publication year | 2014 | |
| Volume | str. 8-16 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Izhodišča: Z raziskavo smo želeli ugotoviti, kako vplivata raven in obseg okvare hrbtenjače na funkcijski izid pri bolnikih z okvaro hrbtenjače v različnih obdobjih rehabilitacije ter na trajanje same hospitalizacije na Oddelku za rehabilitacijo pacientov z okvaro hrbtenjače Univerzitetnega rehabilitacijskega inštituta Republike Slovenije - Soča (URI - Soča). Zanimalo nas je še, kakšno funkcijsko izboljšanje dosežejo bolniki po šestih tednih programa rehabilitacije na URI - Soča. Metode: V študijo smo vključili vse bolnike, ki so bili v obdobju od 1. junija 2010 do 31. decembra 2013 prvič sprejeti na URI - Soča in so bili v program rehabilitacije vključeni najmanj šest tednov ter se je obravnava ob zaključku hospitalizacije tudi zaključila. Izključili smo bolnike, ki niso imeli popolnih podatkov o oceni SCIM (ang. Spinal cord independence measure) ob sprejemu, po šestih tednih rehabilitacije in ob odpustu. Bolnike smo razdelili v štiri skupine glede na raven in obseg okvare hrbtenjače. Rezultati: Vključitvene kriterije je izpolnjevalo 109 bolnikov. Povprečna ocena SCIM 3 (ob zaključku obravnave) je bila značilno (p<0,05) višja od ocene SCIM 1 (ob začetku obravnave) pri vseh skupinah bolnikov. Izboljšanje rezultata ocene SCIM je bilo pri vseh skupinah bolnikov v časovnih obdobjih ocenjevanja podobno (p>0,05). Bolniki s popolnimi okvarami v vratnih segmentih hrbtenjače so imeli v povprečju daljšo hospitalizacijo od bolnikov z nepopolno okvaro. Po šestih tednih so vsi bolniki dosegli več kot 70 % končne ocene SCIM ob odpustu. Zaključek: Raven in obseg okvare hrbtenjače vplivata na funkcijsko stanje bolnikov v času rehabilitacije in ob zaključku. Vse skupine bolnikov so med rehabilitacijsko obravnavo dosegle podobno funkcijsko izboljšanje kljub različnim ocenam funkcijskega stanja na začetku rehabilitacijske obravnave in različni dolžini hospitalizacije.Background: The aim of the study was to investigate the effect of level and extent of spinal cord injury on the functional outcome of spinal cord injured patients in different time periods of in-patient rehabilitation, and on the length of stay at the Department for Rehabilitation of Patients with Spinal Cord Injury of the University Rehabilitation Institute in Ljubljana, Slovenia. We were also interested in the proportion of functional outcome at discharge that patients achieved after six weeks of in-patient rehabilitation. Methods: The study included all the patients who were admitted to our department for the first time in the period from 1 June 2010 to 31 December 2013. Additional inclusion criteria were at least six weeks of hospitalization and a completed rehabilitation program at discharge. The patients were required to have a complete SCIM (Spinal Cord Independence Measure) assessment upon admission, after six weeks and at discharge. Patients were divided into four groups according to the level and extent of spinal cord injury. Results: The inclusion criteria were met by 109 patients. The average SCIM score at the end of treatment was statistically significantly (p<0.05) higher than at the beginning of treatment in all groups of patients. Functional progress was similar (p>0.05) in all groups of patients over all three periods of assessment. After six weeks, all patients achieved more than 70 % of the SCIM score at discharge. Patients with complete cervical spinal cord injury had longer length of stay than those with incomplete injury. Conclusions: The level and extent of spinal cord injury affect the functional status of patients throughout their hospitalisation. During inpatient rehabilitation, all the four patient groups achieved similar functional improvement despite the different functional status at the beginning of rehabilitation and different length of stay. | |
| Descriptors | Spinal Cord Injuries | |
| Keywords | ASIA Spinal Cord Independence Measure functional outcome functional progress okvare hrbtenjače rehabilitacija funkcijsko stanje funkcijsko izboljšanje |