Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Grote, V.
Indicators of Medical Outcome in Inpatient Rehabilitation, Considering Routine Outcome Measures, Cardiac Autonomic Control and Dynamic Temporal Changes.
Doktoratsstudium der Medizinischen Wissenschaft; Humanmedizin; [ Dissertation ] Graz Medical University; 2020. pp. 168
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- Autor*innen der Med Uni Graz:
- Grote Vincent Thomas
- Betreuer*innen:
- Hofmann Peter
- Holasek Sandra Johanna
- Moser Maximilian
- Altmetrics:
- Abstract:
- Introduction: The incidence of chronic diseases is increasing in modern society and with age. Rehabilitation plays a critical role in preventing and minimizing the functional limitations associated with ageing and chronic conditions. Results of medical routine outcomes from rehabilitation are unavailable. Methods: In Austria, phase II (WHO) rehabilitation is generally carried out as an inpatient. As part of the documentation for all patients who benefit from rehabilitation, the standardized collection of data relating to performance indicators for medical quality outcomes is obligatory. We define two general medical success indicators for multidisciplinary rehabilitation that can be obtained from routine documentation: an unspecific general health and a disease-specific indicator. Routine data from 24,414 patients with different medical diagnoses (57.9 ± 12.4 years, 48.5% women) were statistically analyzed. Thirty-seven percent of these patients were older than 61+ years. Further results of individual specific clinical samples are presented. Results: The findings show that inpatient rehabilitation setting reduced lifestyle-related risk factors, optimized organ functioning and improved well-being in the majority of patients (78.8%). Medical initial values at the beginning of rehabilitation were age- and sex-related. Rehabilitation contributed to the greatest number of observed positive changes during the early rehabilitation stage and in older patients (61+ years). Improvements were observed in two independent areas: general health determinants (risk factors) and disease-specific indicators. These main components developed differently after the primary medical intervention, but showed similar improvements due to rehabilitation for various indications. Conclusions: In this work, we provide clinical reference data and illustrate dynamic temporal trends in data related to inpatient rehabilitation. These results can be used to improve the success rates and sustainability of rehabilitation treatments, to examine new treatment alternatives or environmental conditions, or to make an evidence-based assessment of medical quality outcomes for different treatment pathways. In this way, a standardized use of routine outcome measures can provide a valuable contribution to quality assurance and evaluation.