ArticleDer Nervenarzt2016
[Course of rehabilitation in early neurological/neurosurgical rehabilitation. Results of a 2014 multi-center evaluation in Germany].
Article in Der Nervenarzt, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- The Neurological Rehabilitation of Adults With Coma and Disorders of Consciousness.Deutsches Arzteblatt international · 2023Guideline
- The Course of Rehabilitation of Ventilated and Tracheally Cannulated Patients in Neurological-Neurosurgical Early Rehabilitation.Deutsches Arzteblatt international · 2026Article
- Long-term outcomes of community-based intensive care treatment following neurological early rehabilitation- results of a multicentric German study.Neurological research and practice · 2025Article
- Decannulation ahead: a comprehensive diagnostic and therapeutic framework for tracheotomized neurological patients.Neurological research and practice · 2025Review
- Differences in functional outcome of COVID-19 and non-COVID-19 patients with critical illness polyneuropathy/ myopathy: a multicenter cohort study.Journal of neurology · 2025Observational
- Post-discharge "continuum of care" clinical pathway for persons with severe neurodisabilities-qualitative research to assess its concept and practicality after implementation.Frontiers in neurology · 2025Article
- Weaning in early neurological-neurosurgical rehabilitation in Germany - results from a nationwide online survey.Frontiers in neurology · 2025Article
- Article
- In Reply.Deutsches Arzteblatt international · 2022Article
- Article
- [The certification of centers for weaning from mechanical ventilation in neurological and neurosurgical early rehabilitation by the German Society for Neurorehabilitation].Der Nervenarzt · 2022Review
- One-year outcome of brain injured patients undergoing early neurological rehabilitation: a prospective observational study.BMC neurology · 2022Observational
- [Out-of-hospital ventilation after prolonged weaning].Der Pneumologe · 2021Review
- German hospital capacities for prolonged mechanical ventilator weaning in neurorehabilitation - results of a representative survey.Neurological research and practice · 2020Article
- Management of patients with multidrug-resistant organisms in rehabilitation facilities. Results of a survey in the Rhine-Main region, Germany, 2019.GMS hygiene and infection control · 2020Article
- Influence of paroxysmal sympathetic hyperactivity (PSH) on the functional outcome of neurological early rehabilitation patients: a case control study.BMC neurology · 2019Article
- [Integrated neurorehabilitation improves efficacy of treatment].Der Nervenarzt · 2019Article
- Decannulation of tracheotomized patients after long-term mechanical ventilation - results of a prospective multicentric study in German neurological early rehabilitation hospitals.BMC anesthesiology · 2018Observational
- [Telerehabilitation can not replace traditional neurological rehabilitation].Der Nervenarzt · 2017Article
- [Weaning concepts in the setting of neurological disorders].Der Nervenarzt · 2017Article
Corrections and comments
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Authors and funding
18 authors at 15 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Germany, neurological-neurosurgical early rehabilitation is well established in the treatment of severe neurological diseases. To develop quality standards, knowledge of the current rehabilitation course is required. PATIENTS AND
methodsA retrospective analysis was performed on the course of rehabilitation from patients in an early neurological/neurosurgical rehabilitation program in 16 centers from 10 German states. The odds for a good or poor outcome were investigated using a multivariate logistic regression model.
resultsSeven hundred and fifty-four patients were included in the study. The average age of the patients was 68 ± 15 years. Of the patients studied, 26 % were on mechanical ventilation commencing their neurological rehabilitation. The average duration of stay was 56 ± 51 days. Weaning rate from mechanical ventilation was 65 % and the rate of weaning from tracheal cannula was 54 %. Mean improvement in the Barthel Index of 17 points, significant reduction of dysphagia (from 62 to 30 %) and depended walking (from 99 to 82 %), and the achievement of phase C (the next stage of rehabilitation) in 38 % can still be counted as signs of successful rehabilitation. During their course of stay, near 10 % of the patients died. Of these, 67 % received solely palliative care. In the multivariate logistic models, the absence of the factor "necessity for mechanical ventilation on admission" (odds ratio 0.61; 95 % confidence interval (CI): 0.42 … 0.89) increased the chance for good outcome and the presence of this factor the risk of dying with an odds ratio of 8.07 (95 % CI: 4.54-14.34). DISCUSSION: In spite of the severity of neurological deficits, significant functional progress has been made. These results could be interpret as positive proof of the efficacy of neurological/neurosurgical early rehabilitation programs.
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