Article

The main objective of this study was to describe the distribution of
referrals offered to patients assessed in the "Post-Acute Stroke program" of
Bordeaux University Hospital (France). This program was developed in 2008 to
organize the dispensation of care in rehabilitation units specialized in
neurological diseases. MATERIAL AND METHODS:
This was a single-centre
observational study. Between July 2008 and December 2012, data on the number of
stroke patients hospitalized at the Bordeaux University Hospital and their
post-acute referral were collected from the local hospital discharge database.
Some of these patients were assessed by Physical Rehabilitation and Medicine
physicians participating in the program. Proposed and actual referrals, time from
admission to assessment and functional status were also collected. RESULTS: Among
4189 stroke patients, 1465 (35%) survivors were assessed, of whom 932 (22.2%)
were discharged to inpatient rehabilitation facilities. There were no patients
discharged to this type of unit without an assessment. Among the 1465 patients
who were assessed, 57.2% were referred to specialized rehabilitation units, 6.3%
were discharged to non-specialized rehabilitation units and 26% returned home
directly. The median total length of stay in acute units varied from 10 to 15days
depending on referral orientation. CONCLUSION: Patients that were assessed were
more likely to be transferred to specialized rehabilitation units than to
non-specialized rehabilitation units. The Post-Acute Stroke program has the
particularity of combining private and public specialized rehabilitation units in
a common collaborative referral system while retaining the control and
flexibility of personalised referral for each patient in the light of local care
availability.
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Langue : ANGLAIS