Medical Rehabilitation System for Senior Patients with Severe Craniocerebral Injury in the Megalopolis

Abstract

The capacity of comprehensive standardized stepped medical rehabilitation is assessed in 469 patients who underwent surgical procedures for severe craniocerebral injury in Saint Petersburg hospitals in 2010–2017. As a result of the neurorehabilitation system, the incidence rates of infectious and inflammatory complications associated with physical inactivity significantly declined. The average number of bed days decreased from 34 ± 5 to 23 ± 4 days. At the time of discharge from the neurosurgical hospital, the Barthel index (BI) of activities of daily living (ADL) was 42 ± 8 points. After inpatient rehabilitation, the average BI score improved to 70 ± 6 points. The subsequent course of therapy through the outpatient rehabilitation resulted in the average BI score increase to 78 ± 6 points.