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Grote, V; Bottcher, E; Mur, E; Kullich, W; Puff, H.
Medical Quality Outcomes: Unspecific Outcome Parameters of an Inpatient Musculoskeletal System Rehabilitation in Austria Monocentric clinical reference values of a descriptive evaluation model for routine outcome measurements in Orthopaedic Rehabilitation and the "Health through Activity" programme
PHYS MED REHAB KUROR. 2019; 29(2): 104-117. Doi: 10.1055/a-0835-6481
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Co-authors Med Uni Graz: Grote Vincent Thomas
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Abstract:: Purpose As part of the documentation for all patients who benefit from inpatient rehabilitation, standardized collection of data relating to performance indicators for medical quality outcomes (MQO) is obligatory. Publications on this subject, however, are rare. The aim is to make available elementary clinical reference data and show changes relating to an inpatient musculoskeletal rehabilitation. Materials and Methods The outcome parameters required by funding agencies in the service profile include, besides disease-specific parameters, unspecific general health parameters such as body measurements, circulatory parameters and health problems. Data from 11 414 patients (54.7 +/- 12.3 years, range: 14-95; 53 % women) who had undergone orthopaedic rehabilitation or a "Health through Activity" programme, were statistically analysed. Results Unspecific MQO indicators can be summarized in three categories (explained variance 71 %). There is variation in the initial values according to indication and gender. The effect of inpatient rehabilitation stay is comparable. 74 % of patients gain immediate benefit from the rehabilitation. 20 % of patients show no change and 6 % get worse. In contrast to circulatory parameters and symptoms, anatomical characteristics remain practically unchanged. Discussion and Conclusions Inpatient rehabilitation setting reduces risk factors in the majority of patients and improves general wellbeing, although not all those having rehabilitation reach such a level of success. In order to improve the success rate and sustainability of the treatment, differentiation of treatment pathways is required. In this way, clinical reference values can provide a valuable contribution to quality assurance and evaluation.
Find related publications in this database (Keywords): Inpatient rehabilitation; medical quality outcomes; routine outcome measurement; reference data