Complications During the Inpatient Rehabilitation Period in Neurological Subjects

IF 0.5 4区医学 Q4 GERONTOLOGY

Topics in Geriatric Rehabilitation Pub Date : 2021-04-01 DOI:10.1097/TGR.0000000000000308

J. Klaphajone, P. Wattanapan, Punjama Tunwattanapong, Wuttiganok Wangno, V. Kuptniratsaikul

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引用次数: 0

Abstract

Objective To explore common complications in people with neurological conditions during rehabilitation admission. Methods: All neurological subjects, including those with stroke, spinal cord injury (SCI), and traumatic brain injury, who were admitted for intensive and less-intensive rehabilitation programs during January to December 2012 were recruited. Both avoidable and unavoidable complications and related factors were assessed. Results: Among 1146 subjects, 65% was male with a mean age of 54.5 years. Almost 90% were admitted for intensive rehabilitation. The common avoidable complications that occurred were urinary tract infection (UTI) (12.8%), musculoskeletal pain (7.0%), neuropathic pain (2.3%), pneumonia (1.5%), and pressure injury (1.2%). Spasticity, which is an unavoidable complication, occurred in 2.1% of subjects. Older age, male gender, diagnosis of SCI, and longer stay were important factors related to complications. Conclusions: Most of the common complications during rehabilitation were avoidable complications, especially UTI and pain. A heightened level of awareness and vigilance should be exercised in older male subjects, those with prolonged hospital stay, and those with a diagnosis of SCI.

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神经内科病人住院康复期并发症

目的探讨神经系统疾病患者康复入院时常见的并发症。方法:选取2012年1月至12月间接受强化和低强度康复治疗的所有神经学受试者，包括脑卒中、脊髓损伤(SCI)和创伤性脑损伤患者。对可避免和不可避免的并发症及相关因素进行评估。结果:1146例受试者中，65%为男性，平均年龄54.5岁。近90%的患者接受了强化康复治疗。常见的可避免并发症是尿路感染(UTI)(12.8%)、肌肉骨骼疼痛(7.0%)、神经性疼痛(2.3%)、肺炎(1.5%)和压迫性损伤(1.2%)。痉挛是不可避免的并发症，发生率为2.1%。年龄、男性、脊髓损伤诊断、住院时间较长是与并发症相关的重要因素。结论:康复过程中常见并发症多为可避免的并发症，尤以尿路感染和疼痛为主。老年男性受试者、住院时间延长者和脊髓损伤诊断者应提高意识和警惕。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Geriatric Rehabilitation Multiple-

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Topics in Geriatric Rehabilitation, (TGR) is a peer-reviewed journal that presents clinical, basic, and applied research, as well as theoretic information, consolidated into a clinically relevant format and provides a resource for the healthcare professional practicing in the area of geriatric rehabilitation. TGR provides useful, treatment-related information written by and for specialists in all aspects of geriatric care. Each issue focuses on a specific topic, providing dependable hands-on tips and techniques.