The Effects of Rehabilitation Programs on Spinal Cord Injury Patients at Dr. Soetomo General Hospital

Abstract

: Acute medical management of people with SCI focuses on minimising further neurological damage to the spinal cord and optimising recovery. Dr Soetomo Hospital Surabaya as a referral center in eastern Indonesia often gets referral of patients with spinal cord injury severely cases. This research is a descriptive study. Sample of study were all inpatients who were consulted at the medical rehabilitation, from January 2018 until Desember 2018. All patients received rehabilitation programs while in care (± 17,73 days). Level of injury severity of SCI (AIS criteria),changes barthel index (BI) and discharge condition were investigated. Therewere 1264 inpatients, 166 patients(13,13%) were SCI patients who were consulted at the department of medical rehabilitation. The most cases are caused by tumor 31,32 %, AIS A 37,95%, location of injury at thoracal region 51,20 %. Complications were bladder disturbance at 77 patients, bowel disturbance 74 patients, and ulcus decubitus there were 31 patients, home return rate 68,07% , death 19,28%, and discharge against medical advice 12,6%. From Neurology ward that received rehabilation programs 68,57% increased Barthel index. Management SCI patients with multidisciplinary teams between neurologi, surgery and rehabilitation department at Dr. Soetomo Hospital can increased barthel index and home return rate.