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
References
2. Neira J, Di Stéfano C. Trauma Raquimedular. En: Castillo L, Romero C, Mellado P. Cuidados Intensivos Neurológicos. Santiago de Chile: Editorial Mediterráneo Ltda. 2004;215- 239.
3. Hospital Universitario del Valle. Base de datos Estadística del ingreso de pacientes con Trauma raquimedular en el periodo del 2005 al 2007.
4. Montoya A. Trauma vertebromedular agudo. En: Pedroza A (ed). Compendio de Neurocirugía. Bogotá: Taller Creativo Ltda. 2002;271-287.
5. Soden RJ, Walsh J, Middleton JW, Craven ML, Rutkowski SB, Yeo JD. Causes of death after spinal cord injury. Spinal Cord 2000;38:604-610.
6. Middleton JW, Lim K, Soden R, Rutkowski S. Patterns of morbidity and rehospitalisation following spinal cord injury. Spinal Cord 2004;42:359-367.
7. Dryden DM, Saunders LD, Rowe BH, May LA, Yiannakoulias N, Svenson LW, Schopf locher DP, Voaklander DC. Utilization of health services following spinal cord injury: a 6-year follow-up study. Spinal Cord 2004;42:513-525.
8. Whalley K. Quality of life after spinal cord injury: a metasynthesis of qualitative findings. Spinal Cord 2007;45:124- 139.
9. Vaidyannathan S, Soni BM, Mansour P, Glass CA, Sing G, Binglesy J, Wattt JWH, Sett P. Community-care waiting list for persons with spinal cord injury. Spinal Cord 2001;39:584-588.
10. República de Colombia, Presidencia de la República, Red de Solidaridad Social, Ministerio de Protección Social, Comité Regional de Rehabilitación de Antioquia. Política Pública de Discapacidad: fortalecimiento y movilización social. Impreson Begón Ltda. Medellín, 2005;39-56 [en internet] www.google.com [consultado junio 26 de 2008].
11. Galvin LR, Godfrey HPD. The impact of coping on emotional adjustment to spinal cord injury (SCI): review of the literature and application of a stress appraisal and coping formulation. Spinal Cord 2001;39: 615-627.