Observational studyEuropean journal of physical and rehabilitation medicine2022
The Wolfson Assessment Matrix: a potential tool to support clinicians in establishing access to specialized neuro rehabilitation by capturing important prognostic factors. Sharing more equitable and transparent criteria.
Observational study in European journal of physical and rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The integration of the Italian Rehabilitation Complexity Scale in the assessment of patients admitted to different levels of care in public and private accredited settings and belonging to the main rehabilitative MDCs: a national experience.European journal of physical and rehabilitation medicine · 2026Observational
- Rehabilitation complexity scale and reimbursement of in-hospital pulmonary rehabilitation.Multidisciplinary respiratory medicine · 2023Article
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4 authors.
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Abstract
backgroundSpecialized Rehabilitation Services (SRSs) are designed to offer intensive multidisciplinary rehabilitation to patients with complex needs, who are expected to make significant functional gains in their ADLs over a relatively limited period of time. Although national guidelines offer a guidance on how to band patients by complexity, there is no consensus on how to screen patients with regard to rehabilitation prognosis.
aimThe aim of this study was to improve the selection of patients admitted to an SRS, defining transparent and equitable prognostic criteria to guide clinicians' decision making.
designThis is a retrospective observational study
settingan SRS in the UK. POPULATION: We included 121 patients affected by a neurological condition consecutively admitted for multidisciplinary rehabilitation.
methodsRehabilitation Complexity Scale Extended is used to describe rehabilitation complexity. A short list of potential barriers to rehabilitation was analysed to predict the functional outcome measured by the Functional Independent Measure and the Barthel Index.
resultsOlder age, a heavier burden of co-morbidities, pre-morbid cognitive difficulties or dementia and a lower function level at admission were the most important variables to predict a lower functional gain.
conclusionsWe have used this list of barriers to create the Wolfson Assessment Matrix as a potential support tool to guide clinicians navigating through the different rehabilitation service options when assessing complex patients for eligibility to an SRS. CLINICAL REHABILITATION IMPACT: SRSs are highly expensive services representing a possible step along the rehabilitation pathway for patients with complex needs. A tool such as the Wolfson Assessment Matrix would represent a step forward to help consistency in decision making regarding appropriateness for SRSs. It would also help to set realistic long-term goals with patients and families and support Health Services in the further development of alternative rehabilitation settings.
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