Impact of intensive day rehabilitation on inpatient length of stay and outcomes for children with traumatic brain injury
Sue-anne Davidson1,2,4, Rae Robinson1, Taryn Ambrosi1, Ashleigh Thornton1,2,3, Divyagowri Manila1, Anna Gubbay1,2, Lin Kanungo1, Irwin Gill5, Kids Rehab WA iRehab Team Kids Rehab WA iRehab Team1, Jane Valentine1,2,3,41Perth Children’s Hospital, CAHS, Nedlands, WA, Australia2Telethon Kids Institute, Nedlands, WA, Australia3University of Western Australia, Crawley, WA, Australia4Curtin University, Bentley, WA, Australia5Children’s Hospital of Dublin, Dublin, Ireland
Abstract
Background
iRehab was established in 2011 at Perth Children’s Hospital (PCH) to provide intensive, time limited, goal-focused, multidisciplinary rehabilitation for children with complex neurological and other conditions to improve function and participation. The impact of changes to paediatric rehabilitation models of care for children with traumatic brain injury (TBI), including early discharge to the iRehab service are presented.
Objectives
To describe the outcomes of intensive day rehabilitation for children with TBI on inpatient length of stay, function and patient satisfaction before and after change in model of care.
Design
Retrospective observational cohort study.
Method
All children admitted to PCH for initial management of TBI between June 1999 and March 2023 were included. We described changes in discharge referral pathway and measured length of inpatient stay, length of iRehab program (days) and occasions of service and change in pre and post iRehab WeeFIM, GAS and COPM scores and patient satisfaction scores.
Results
Data for 331 children will be reported.
Conclusion
iRehab is a comprehensive service which has enabled early discharge to an intensive day rehabilitation and expedited use of acute tertiary hospital beds by reducing length of stay and improved functional outcomes for children with TBI.
Biography
TBC