Age-specific rates of population’s need for inpatient medical rehabilitation

Abstract

To date, the issue of population’s need for medical rehabilitation (MR) remains little studied.Aim.To determine the age-specific rates of the Russian adult population’s need for intrahospital MR.Material and methods. The paper presents the estimated age-specific need of the adult population for inpatient MR, constituting the hospitalization number per year per 10,000 population of a particular age for diseases corresponding to ICD10 codes. During the study, the adult population was divided into 6 age groups (18- 29, 30-39, 40-49, 50-59, 60-69 and 70 and older). Medical experts have developed indications for intrahospital MR immediately after the treatment of acute conditions, exacerbation of chronic diseases, the outcomes of injuries and surgeries. The indications were developed taking into account the disease stage and the severity of a patient’s condition. The necessary conditions for MR (in- or outpatient) have also been determined. Taking into account these indications during analyzing medical documentation, the experts concluded that further MR of inpatients is necessary. The duration of MR was also determined.Results. The largest number of inpatients in need of MR falls on the older age groups (60-69 years (874,7 per 10,000 population) and ≥70 years (1346,3 per 10,000 population)), while the smallest — on the people aged 18-29 years (106,2 per 10,000 population). This is due to the fact that in older age groups the number of diseases requiring MR is increasing, including in inpatients conditions. In other age groups, the need for intrahospital MR was as follows: 115,2 hospitalizations per 10,000 population in the 30-39 age group; 328,9 — in the 40-49 age group; 512,5 — in the 50-59 age group.Conclusion. The healthcare executive authorities in any Russian regions can estimate the age-specific population’s need for MR using the proposed calculated number of adult population hospitalizations for inpatient MR.