Multidisciplinary rehabilitation versus medical care : a meta-analysis.
Research studies in physical medicine have not demonstrated the effectiveness of inpatient rehabilitation services, primarily due to differences in methodological approaches which have led to inconsistent findings.
Because of differing inclusion and outcome criteria, even meta-analyses have been inconclusive.
To address this problem, research literature comparing the clinical effectiveness of rehabilitation programs with medical care was evaluated for three uniformly available outcome criteria :
functional ability ;
and discharge location.
Published trials were obtained from citations in Index Medicus (Medline) and Nursing and Allied Health Abstracts covering the recent 20 year period from 1974 to 1994.
We used meta-analyses to test the hypotheses that specialized rehabilitative care (vs conventional medical care) improves health outcomes.
Results of our meta-analyses indicated that rehabilitation services were significantly associated with better rates of survival and improved function during hospital stay (P<0.01), but significance was not observed at follow-up.
Also, rehabilitation patients returned to their homes and remained there more frequently than controls (P<0.001).
We concluded that patients who participate in inpatient rehabilitation programs function better at hospital discharge, have a better chance of short term survival, and return home more frequently than non-participants.
Mots-clés Pascal : Réhabilitation, Service santé, Métaanalyse, Efficacité, Evaluation, Hôpital, Survie, Capacité fonctionnelle, Homme, Organisation santé, Système santé
Mots-clés Pascal anglais : Rehabilitation, Health service, Metaanalysis, Efficiency, Evaluation, Hospital, Survival, Functional capacity, Human, Public health organization, Health system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0354305
Code Inist : 002B30A01B. Création : 01/03/1996.