title: [Early neurorehabilitation in an acute university hospital: from dream to reality].
abstract: The need for an early neurorehabilitation pathway was identified in an acute university hospital. A team was formed to draw up and implement it. A neuro-sensorial, interdisciplinary and coordinated therapy program was developed, focused on tracheostomised patients as soon as they were admitted to the intermediate care in neurology and neurosurgery. The impact of this care plan was evaluated by comparing the results obtained with that pertaining to patients treated previously in the same services. The comparison showed a reduction of 48% of the mean duration of tracheostomy, of 39% in the time to inscription in a neurorehabilitation centre and of 20% in the length of stay in the intermediate care. An early neurorehabilitation care program, with an interdisciplinary and coordinated team, reduces complications and lengths of stay.
authors.affiliation: Unité de neurorééducation précoce avec surveillance intensive, CHUV, Lausanne. Loric.Berney@chuv.ch
authors.forename: L
authors.initials: L
authors.lastname: Berney
authors.forename: J B
authors.initials: JB
authors.lastname: Wasserfallen
authors.forename: V
authors.initials: V
authors.lastname: Schweizer
authors.forename: P
authors.initials: P
authors.lastname: Michel
authors.forename: M
authors.initials: M
authors.lastname: Oddo
authors.forename: P
authors.initials: P
authors.lastname: Jolliet
authors.forename: J
authors.initials: J
authors.lastname: Bloch
authors.forename: M
authors.initials: M
authors.lastname: Levivier
authors.forename: R
authors.initials: R
authors.lastname: Frackowiak
authors.forename: K
authors.initials: K
authors.lastname: Diserens
mesh_terms: D001927:Brain Diseases / Q000534:rehabilitation*; D003663:Decision Trees; D006785:Hospitals, University; D006801:Humans; D010348:Patient Care Team