Abstract
To compare the treatment time for acquired neurological disorders of communication and the reason for discharge of users of a medium complexity care service for two periods: before and after implementation of treatment indicators. A retrospective cohort study was carried out involving the analysis of medical records of users of the Adult Language Sector of the Speech and Hearing Therapy Service of the Integrated Rehabilitation Center, seen before and after treatment indicators implementation. 129 electronic medical records of users who remained under treatment until discharge from speech therapy in the two studied periods were analyzed. The mean duration of speech therapy for these users was 10.9 months for the first period and 7.8 months for the second period. After implementation of the indicators with regular reassessments, 72 out of the 89 users continued with treatment. There was a statistically significant difference in the therapy average time and reason for discharge before and after treatment indicators implementation. After treatment indicators implementation, there was a reduction of the average speech therapy treatment time for communication disorders and an increase of speech therapy discharge percentage of users seen in a Brazilian service of medium complexity.
Highlights
Apraxia of speech and dysarthria are the most common acquired disorders of communication treated at Brazilian speech therapy (ST) services, with most cases caused by stroke[1,2]
The objective of the present study was to compare treatment time and reason for discharge of users with acquired neurological disorders of communication rehabilitated at a specialized service of medium complexity, before and after implementation of a structured program incorporating ST indicators
A total of 172 medical records were analyzed for both periods, 83 before and 89 after implementation of treatment indicators
Summary
Apraxia of speech and dysarthria are the most common acquired disorders of communication treated at Brazilian speech therapy (ST) services, with most cases caused by stroke[1,2]. Scientific evidence demonstrates the efficacy of ST based on structured programs[3]. Those are chronic disorders, therapy programs can improve the social interaction and motivation of rehabilitation services users[4]. Clinical protocols standardize the diagnosis and intervention process in health and rehabilitation services[5] Under this model, there are defined elective criteria for selecting cases, indicating intervention method, the length and frequency of sessions[6], and for performing regular reassessments until discharge. There are defined elective criteria for selecting cases, indicating intervention method, the length and frequency of sessions[6], and for performing regular reassessments until discharge Those programs can be interdisciplinary in nature[7]
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