2022 ACTIVITY AND CARE RESULTS

Outcomes of the rehabilitation process – other pathologies

Resultats

The results obtained in the study of people affected by pathologies other than spinal cord injury and acquired brain injury are presented below. In 2022, 97 adult patients with other pathologies (Guillain-Barré, myopathies, etc.) that we cannot group with the previously analysed patients with spinal cord injury and brain injury completed their neurorehabilitation process.

The mean age of patients was 53 and the majority were males (58%). The most frequent level of studies among the population attended this year is higher education, followed by secondary and primary education. The demographic details are listed below:

Population by gender

The most frequent level of studies among the population attended this year is secondary (47%), followed by higher education and primary studies.

Psychosocial situation

This section contains the results on the fate of the patient with pathologies other than spinal cord injury and acquired brain injury once they have been discharged from hospital and also who they live with and their level of interrelation with other people and their environment.

If we analyse the situation of living with others on admission and on discharge, some variations are observed. Cases of people who return to live with their parents after discharge are increasing, and patients that must be admitted to an institution are increasing. On the other hand, cases of people living with roommates, close family or a partner, as well as living alone, decreased.

At the Institut Guttmann we also assess the domestic and social situation of the patient, which helps us detect situations of social risk in order to make an appropriate intervention based on the social needs of each patient. According to data from 2022,  the social and domestic situation of the patient on discharge has improved in 55% ​​of cases, is maintained in 27% and is worse in 18%.

The results have been calculated with the EVSF-IG, which is an adaptation of the Gijón Socio-Family Assessment Scale. This scale allows us to classify patients according to 4 categories (No social difficulties ≤ 5 points; Mild social difficulties from 6 to 9 points; Important social difficulties from 10 to 14 points and Severe social difficulties ≥ 15 points).

The data analysed show that the perception of quality of life after neurorehabilitation treatment improves in 47% of cases. Although relatively small with a mean of 0.55 points, the improvement is statistically significant (p=0.001).

Improved functional autonomy

The functionality achieved by our patients is measured with the international Functional Independence Measure (FIM) scale. The patients present an improvement in functional independence of 19.36 points at discharge in their total score.

Regarding improvement in motor functionality, patients discharged in 2022 improved by a mean of 18.58 points.

The FIM scale measures the patient’s capacity for independence in performing activities of daily living (ADLs). The FIM-Total is the sum of the two areas (cognitive and motor) and the score ranges from 18 to 126 points – the higher the score, the better the patient’s level of functionality.