Medical and statistical characteristics of children who underwent neuroinfections and analysis of the volume of medical care in the conditions of the rehabilitation department

Abstract

The medical-statistical analysis of the nature and volume of rehabilitation care provided to children who underwent neuroinfections is presented. In order to develop proposals to improve the rehabilitation system for children who underwent neuroinfection, data from the case histories of patients was treated at the Department of Rehabilitation of the Children’s Scientific and Clinical Center for Infectious Diseases (470 case histories). It was found that a significant proportion of children (38,5%) had an established group of disability. The vast majority (96,6%) patients had a disease of the nervous system, after neuroinfektions, of which a considerable part (39,3%) gets diagnosed cerebral palsy. Concomitant diseases were present in 23,8% of patients. In 68,6% of children with underlying medical conditions were reported illnesses of the musculoskeletal system and connective tissue. Most long-term treatment in a rehabilitation unit were in children who had a concomitant disease, and complications of the underlying disease (31,33±0,9 days). On average, one patient department advised 4,76±0,17 doctors of different specialties. The author analyzed the scope and nature of the executed rehabilitation activities, which showed that on average, each child was carried by 3,9±0,19 different kinds of rehabilitation procedures. More than half of patients (54,9%) received the hardware physiotherapy; 25,5% of patients – electrotherapy; 82,6% of massages; 38,1% – rehabilitation procedures using robotic mechanotherapy. The study proved the effectiveness of the rehabilitation department: 94,4% of patients after treatment in a rehabilitation ward, were discharged with improvement and 5,6% – no change in the state. The dependence of volume and nature of medical care provided to children in the rehabilitation department of the diagnosis of the underlying disease, presence of complications and comorbidities may be used in the planning and organization of work offices neurorehabilitation.

Keywords

neuroinfections / nervous system / children / medical aftertreatment / medico-statistical characteristic / neurorehabilitation / physiotherapy / rehabilitation procedures

References

[1] Вишняков, Н.И. Общественное здоровье и здравоохранение: учебное пособие для студентов / Н.И. Вишняков [и др.]. – 6-е изд. – М.: Медпресс-информ, 2012. – 655 с.

[2] Лучкевич, В.С. Непараметрические критерии статистики в медицинских исследованиях: учебно-методическое пособие для студентов / В.С. Лучкевич, В.Г. Маймулова, Е.Н. Нечаева. – СПб.: СПбА, 1996. – 97 с.

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