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OUTCOMES AND PROBLEMS IN PEDIATRIC PULMONARY REHABILITATION

 

作者: Ralph Buschbacher,  

 

期刊: American Journal of Physical Medicine and Rehabilitation  (OVID Available online 1995)
卷期: Volume 74, issue 4  

页码: 287-293

 

ISSN:0894-9115

 

年代: 1995

 

出版商: OVID

 

关键词: Pulmonary Disease;Rehabilitation;Pediatrics;Bronchopulmonary Dysplasia

 

数据来源: OVID

 

摘要:

ObjectiveTo provide baseline information on the state of pediatric pulmonary rehabilitation, including data regarding diagnosis, age, gender, race, gestational age, disposition, medications, complications, procedures, consultations, pulmonary status, and outcomes.DesignRetrospective review.SettingPediatric pulmonary rehabilitation unit of a pediatric rehabilitation hospital that is free-standing, but that receives most of its referrals from a tertiary care pediatric hospital.PatientsAll patients (70 subjects) who had completed a course of inpatient rehabilitation over the 5-yr life of the hospital.Main Outcome MeasuresDescriptive data were collected in regard to the objectives. In addition, outcome measures were developed for this study. They include measurements of developmental equivalence at admission and discharge and the changes in these scores, both actual and expected.ResultsDescriptive characteristics are listed in the text. Forty-six patients had bronchopulmonary dysplasia (BPD). The success rate of weaning those with BPD who were admitted with a goal of ventilator weaning was 81% (24% for those without BPD). On admission, 36 of those with BPD required three pulmonary aids (O2, continuous positive airway pressure, ventilator, and tracheostomy); at discharge, 28 required three aids. Of those without BPD, 16 required three aids at admission and 14 did so at discharge.ConclusionsBasic descriptive data are provided. The characteristics are similar to those in previous studies, although with a larger sample size and more detail. The outcome measures described cannot be compared with a criterion standard, but do offer a starting point in this underdeveloped field and will assist in future research directions.

 

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