Critical path in the rehabilitation of persons with spinal cord injuri (SCI) Valle University Hospital (HUV) - Colombia
Keywords:
Critical path, spinal cord injur y, rehabilitation.Abstract
The rehabilitation of patients with spinal cord injury (SCI) is influenced by adequate and timely treatment from the beginning of his injury because it prevents secondary and tertiary complications.
Objective:
The objective of this study is to describe the “critical path” following the person with SCI in the HUV, from the time of the event until it leaves the institution.
Methods:
Longitudinal descriptive study of a population with TRM, to show the process of care received from the time of injury, during the hospital stay until discharge. Sample 30 users, corresponding to 100% of patients with TRM in HUV between October 2007 and January 2008.
Results:
The 81.8% of patients were transferred by ambulance. During their hospital stay, patients were evaluated by different specialists depending on your emergency room (67%), operating room (37%), neurosurger y (27%), or thopedic room (23%), among others. 72% of the procedures were performed between the first 4 to 8 hours. Barriers exist for administrative
procedures in the inpatient and outpatient care.
Conclusions:
The “critical path” showed that despite having established protocols, there are problems from the transfer of patients to the institution. At the administrative level by SGSS requirements, there are barriers to care. Education about health status is not given to all patients. There are barriers for rehabilitation services in the outpatient phase.
Author Biographies
Belkys Beatriz Angulo Brisn, Universidad del Valle
Gloria Patricia Arango Hoyos, Universidad del Valle,
Marcela Bolaños Roldán, Universidad del Valle
Escuela de Rehabilitación Humana, Facultad de Salud.
Consuelo Burbano López, Universidad del Valle
Gustavo Echeverry Loaiza, Universidad del Valle
Adriana Reyes Torres, Universidad del Valle
Luz Helena Rojas González, Universidad del Valle
Rehabilitación Humana, Facultad de Salud
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