Medical Rehabilitation System for Senior Patients with Severe Craniocerebral Injury in the Megalopolis
The capacity of comprehensive standardized stepped medical rehabilitation is assessed in 469 patients who underwent surgical procedures for severe craniocerebral injury in Saint Petersburg hospitals in 2010–2017. As a result of the neurorehabilitation system, the incidence rates of infectious and inflammatory complications associated with physical inactivity significantly declined. The average number of bed days decreased from 34 ± 5 to 23 ± 4 days. At the time of discharge from the neurosurgical hospital, the Barthel index (BI) of activities of daily living (ADL) was 42 ± 8 points. After inpatient rehabilitation, the average BI score improved to 70 ± 6 points. The subsequent course of therapy through the outpatient rehabilitation resulted in the average BI score increase to 78 ± 6 points.
Keywords:craniocerebral injury medical rehabilitation senior age Barthel index
COMPLIANCE WITH ETHICAL STANDARDS
Conflict of interests. The authors declare that they have no conflict of interest.
Statement of compliance with standards of research involving humans as subjects. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants involved in the study.
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