科研之友
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摘要
Background One of the reasons physiotherapy services are provided to emergency departments (EDs) and emergency extended care units (EECUs) is to review patients%26apos; mobility to ensure they are safe to be discharged home. %26lt;br%26gt;Aim To investigate whether a physiotherapy service to an EECU altered the rate of hospital admission, rate of re-presentation to the ED, visits to community healthcare practitioners, return to usual work/home/leisure activities and patient satisfaction. %26lt;br%26gt;Methods A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis was undertaken in an EECU. The sample comprised 186 patients (mean age 70 years, 123 (66%) female patients, 130 (70%) trauma) who were referred for physiotherapy assessment/intervention. Referral occurred at any stage of the patients%26apos; EECU admission. All participants received medical/nursing care as required. The physiotherapy group also received physiotherapy assessment/intervention. %26lt;br%26gt;Results The physiotherapy group had a 4% (95% CI - 18% to 9%) lower rate of admission to hospital than the control group and a 4% (95% CI - 6% to 13%) higher rate of re-presentation to the ED, which were statistically non-significant (p %26gt;= 0.45). Differences between groups for use of community healthcare resources, return to usual work/home/leisure activities and satisfaction with their EECU care were small and not significant. %26lt;br%26gt;Conclusion A physiotherapy service for EECU patients, as provided in this study, did not reduce the rate of hospital admission, rate of re-presentation to the ED, use of community healthcare resources, or improve the rate of return to usual work/home/leisure activities or patient satisfaction.
- 出版日期2012-8
