Short summary

The department of Rehabilitation for Neurological Disorders at Grindsted H. occasionally faces challenges related to the admission of patients who are not yet fully prepared for neurorehabilitation. This is a quality assurance and improvement study, designed as a pre- and post-intervention study, with the implementation of a complex intervention as an adapted or modified referral and admission procedure. The pre- and post-intervention assessments includes both quant. and qual. analysis.

Rationale

There is a lack of clarity as to how unnecessary admissions to the rehabilitation department can be avoided, despite thorough referral and screening procedures. Therefore, it is necessary to investigate both the extent of the problem, how many patients are affected-and to explore potential strategies for minimizing such occurrences.

Description of the cohort

E.g. type of participants included, from department XXX, diagnosis, admitted to/ outpatients clinic etc. Patients with newly acquired brain injuries such as stroke, brain tumors, meningitis, traumatic brain injury, and survivors of cardiac arrest. Two distinct referral committees

Data and biological material

Retrospective data collection will be conducted on 50-60 patient records, including variables such as sociodemographic and socioeconomic status, new diagnosis of acquired brain injury, comorbidities, length of stay, discharge destination (home or further rehabilitation), classification as local or regional function patient, number of days on the waiting list, number of on-call physician contacts, number of transfers to the emergency department (FAM), number of days with delirium (including CAM scores), and FIM scores at admission and discharge. Qualitative data collection will involve participant observation and focus group interviews with two distinct referral committees, aiming to qualitatively assess the referral criteria, interprofessional dynamics, and perceived challenges in the current admission procedures.

Collaborating researchers and departments

Aarhus University

• Nanna Rolving, Research Director, Physiotherapist, PhD, Associate Professor

Department of Public Health, Aarhus University

• Nanna Rolving, Research Director, Physiotherapist, PhD, Associate Professor