Outcomes for children with acquired brain injury (ABI) admitted to acute neurorehabilitation

Keetley, Rachel; Bennett, Emily; Williams, Jane; Stewart, Iain; Whitehouse, William; Pilling, Pauline; Manning, Joseph

Abstract

Aim: To evaluate an innovative paediatric neurorehabilitation model in relation to improving quality of neurorehabilitation and reducing length of stay (LOS).

Method: Process evaluation approach was conducted in line with Medical Research Council evaluation of complex interventions guidance. Analysis was conducted on routinely collected patient data from 2017-2018, including LOS, and family feedback. Descriptive and inferential statistics were used for quantitative analysis and qualitative data was analysed thematically.

Results: Outcomes for 70 CYP referred to the service indicated CYP improved functionally and had reduced complexity of need. The mean LOS was 10.6 days compared to baseline mean LOS of 41 days (2011-2012). High satisfaction from the families was recorded, however, ongoing needs and service gaps regarding long-term support were identified.

Interpretation: This service model is effective in delivering quality paediatric neurorehabilitation; demonstrating a sustained impact on LOS, and positive patient outcome data and family feedback for this group of patients.

• Journal Article Type: Article
• Acceptance Date: Jan 26, 2021
• Online Publication Date: Mar 10, 2021
• Publication Date: 2021-07
• Deposit Date: Jan 27, 2021
• Publicly Available Date: Mar 11, 2022
• Journal: Developmental Medicine and Child Neurology
• Print ISSN: 0012-1622
• Electronic ISSN: 1469-8749
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 63
• Issue: 7
• Pages: 824-830
• DOI: https://doi.org/10.1111/dmcn.14846
• Public URL: https://nottingham-repository.worktribe.com/output/5272633
• Publisher URL: https://onlinelibrary.wiley.com/doi/10.1111/dmcn.14846