Abstract:
PURPOSE:To describe the extended Rehabilitation Complexity Scale (RCS-E) and its factor structure, and to determine whether it provides added value over the RCS-version 2 to identify patients with highly complex rehabilitation needs. METHOD:A cohort analysis of prospectively-collected routine clinical data from 331 patients with complex neurological disabilities undergoing inpatient rehabilitation in a tertiary specialist neurorehabilitation unit in the UK. RCS-E and RCS-v2 scores were recorded in parallel by the multi-disciplinary team (MDT) at fortnightly intervals, alongside the Northwick Park nursing (NPDS) and therapy (NPTDA) dependency scales, capturing nursing care and therapy interventions in staff hours/week. RESULTS:Very strong correlations were found between total RCS-v2 and RCS-E scores (ρ = 0.954); the RCS-E "Care & nursing" subscale and care/nursing hours/week (ρ = 0.838, p < 0.001); and the RCS-E "Therapy" subscale and total therapy hours/week (p = 0.697, p < 0.001). The RCS-E showed better discrimination for complex therapy needs than the RCS-v2, but not for complex care/nursing needs. The RCS-E factor structure was similar to the RCS-v2, with moderate internal consistency overall, separating into two distinct dimensions ("Nursing/medical care + Equipment" and "Therapy"). CONCLUSION:The RCS-E provides an equivalent measure of complexity to the RCS-v2, but offers added value in identifying patients with highly complex therapy and equipment needs.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Turner-Stokes L,Scott H,Williams H,Siegert Rdoi
10.3109/09638288.2011.615880subject
Has Abstractpub_date
2012-01-01 00:00:00pages
715-20issue
9eissn
0963-8288issn
1464-5165journal_volume
34pub_type
杂志文章abstract::Aim: Assessment and intervention strategies for communication disorders caused by right hemisphere stroke are at an early stage of development. There is also little evidence on how right hemisphere communication disorder is disabling for everyday life. This study explores how a woman with conversational problems follo...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2020-05-23 00:00:00
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journal_title:Disability and rehabilitation
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