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

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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.

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REFERENCES

  1. Gaidar, B.V., Svistov, D.V., and Shcherbuk, Yu.A., The skull and brain injuries, in Neirokhirurgiya (Neurosurgery), Gaidar, B.V. and Svistov, D.V., Eds., St. Petersburg: Voen. Med. Akad., 2018, pp. 37–135.

    Google Scholar 

  2. Krivetskii, V.V., Geriatric care for patients with traumatic brain injury, Fundam. Issled., 2014, no. 10-9, pp. 1737–1741.

  3. Nikitin, O.A., Krylov, V.V., Levchenko, O.V., and Talypov, O.E., The course and results of treatment of severe traumatic brain injury in elderly patients, Ross. Neirokhir. Zh. im. A.L. Polenova, 2018, vol. 10, p. 181.

    Google Scholar 

  4. Talypov, O.E., Nikolaev, A.G., and Puras, Yu.V., Age as a risk factor for surgery of traumatic brain injury, Neirokhirurgiya, 2012, no. 1, p. 24.

  5. Shcherbuk, Yu.A., Zacharov, V.I., and Shcherbuk, A.Yu., Meditsinskaya reabilitatsiya patsientov, perenesshikh operatsii na tsentral’noi nervnoi sisteme (Medical Rehabilitation of Patients after Surgery on the Central Nervous System), St. Petersburg: Sev.-Zap. Gos. Med. Univ. im. I.I. Mechnikova, 2014.

  6. Shcherbuk, Yu.A., Zacharov, V.I., Shcherbuk, A.Yu., and Yakovlev, A.A., Organizatsiya etapnoi meditsinskoi reabilitatsii: uchebnoe posobie (Organization of Staged Medical Rehabilitation: Manual), St. Petersburg, 2017.

  7. Dams-O’Connor, K., Landau, A., Larson, E.B., and Crane, P.K., Health problems precede traumatic brain injury in older adults, J. Am. Geriatr. Soc., 2016, vol. 64, no. 4, pp. 844–848.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Heckmann, J.G., Kraus, J., and Lang, C.J.G., Geriatric basics for the neurohospitalist, Neurohospitalist, 2018, vol. 8, no. 2, pp. 92–101.

    Article  PubMed  Google Scholar 

  9. Liu, Z., Han, L., Leo-Summers, L., et al., The subsequent course of disability in older persons discharged to a skilled nursing facility after an acute hospitalization, Exp. Gerontol., 2017, vol. 97, pp. 73–79.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Sanguineti, V.A., Wild, J.R., and Fain, M.J., Management of postoperative complications: general approach, Clin. Geriatr. Med., 2014, vol. 30, no. 2, pp. 261–270.

    Article  PubMed  Google Scholar 

  11. Wojtusiak, J., Levy, C.R., Williams, A.E., and Alemi, F., Predicting functional decline and recovery for residents in veterans affairs nursing homes, Gerontologist, 2016, vol. 56, no. 1, pp. 42–51.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Saint Petersburg University, 199034, St. Petersburg, Russia

    Yu. A. Shcherbuk, V. I. Zacharov, A. Yu. Shcherbuk, V. V. Donskov, A. G. Smochilin, E. V. Cherepanova & Ya. N. Kushnirenko

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  1. Yu. A. Shcherbuk
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  2. V. I. Zacharov
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  3. A. Yu. Shcherbuk
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  4. V. V. Donskov
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  5. A. G. Smochilin
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  6. E. V. Cherepanova
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  7. Ya. N. Kushnirenko
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Correspondence to Yu. A. Shcherbuk.

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Conflict of interests. The authors declare that they have no conflict of interest.

Statement of compliance with standards of research involving humans as subjects. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants involved in the study.

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Translated by E. Kuznetsova

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Shcherbuk, Y.A., Zacharov, V.I., Shcherbuk, A.Y. et al. Medical Rehabilitation System for Senior Patients with Severe Craniocerebral Injury in the Megalopolis. Adv Gerontol 9, 343–345 (2019). https://doi.org/10.1134/S2079057019030160

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  • DOI: https://doi.org/10.1134/S2079057019030160

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