Evaluation of post intensive care rehabilitation unit in the Toulouse University Hospital from a cohort of 241 patients in the MPR service of the Toulouse University Hospital between August 2008 and August 2015

Abstract

Post intensive care rehabilitation is a relatively new concept that aims to admit in rehabilitation unit patients just after intensive care to deliver appropriate rehabilitation treatment while ensuring monitoring of heavy medical conditions. Assess activity of post intensive care rehabilitation service in Toulouse University Hospital from 2008 + (year of creation) to 2015 and compare it to the work of other French post intensive care rehabilitation. Epidemiological study, observational, descriptive, retrospective-based patient files maintained by physicians of the service, the data PMSI, medical file. We asked by email to other referring French physicians in a rehabilitation post intensive service some information about their activity. Between August 2008 and August 2015, 241 patients were admitted on 6 beds of rehabilitation after intensive care in CHU de Toulouse, or 5.7 patients per year per bed The average duration of stay is 63.3 days, with wide variability between patients (with duration of stay from 2 to 505 days). The original service is neurology in 25% of cases, neurosurgery in 22% of cases, an intensive care unit or intensive care in 35.6%. The disease is mainly represented by stroke in 32% of cases; SCI about 24% of patients. Approximately 50% of patients were weaned from their respiratory technical assistance. The main downstream service is traditional hospitalization neurological MPR service (39% of cases). Eleven percent of patients had to be re hospitalized in MCO service. Only 2 patients (0.84%) died during their stay in SRPR. Since 2008, 140 patients (59%) went back home and 36 patients died (15%). Our unit accommodates many patients. Some care pathways should be further improved.