Article

The aim of the study was to describe the mobility outcomes of
neurofibromatosis (NF) patients who received acute inpatient rehabilitation.
This is a retrospective study of 62 consecutive neurofibromatosis
patients of any age who received physical medicine and rehabilitation
consultations at a comprehensive cancer center. Postoperative, inpatient
rehabilitation admission and discharge functional independence measures (FIM
scores) of transfers and gait and length of hospital stay were obtained from 37
patients who were transferred to inpatient rehabilitation (acute rehabilitation)
and 25 who had an alternative disposition (consultation only). RESULTS: Mean age
was 34 yrs. Both groups had similar postoperative FIM transfer and gait scores;
however, at approximately postoperative day 10, the consultation only group was
discharged with median FIM of 5 (supervision level) as compared with the acute
rehabilitation group FIM of 4 (P = 0.000). The acute rehabilitation group had
improved mobility FIM scores from postoperative to rehabilitation admission and
again from rehabilitation admission to discharge (P < 0.0001). At discharge, the
acute rehabilitation group ambulated a significantly longer distance (500 f. vs.
300 ft) (P = 0.04). The median length of hospital stay for the acute
rehabilitation and consultation only groups was 20 and 10 days, respectively (P =
0.004). CONCLUSIONS: Acute inpatient rehabilitation leads to improvement in
mobility-associated FIM scores for neurofibromatosis patients minimizing
caregiver needs at home.

Langue : ANGLAIS