Paediatric neurorehabilitation patient distribution according to gender, age, neurological impairment, neurorehabilitation scale usage, and hospitalization time

This retrospective study was the first to investigate the use of neurorehabilitation scales in paediatric neurosurgery patients in South Africa. The study's results highlight the complex nature of neurorehabilitation in children, marked by extended hospitalisation and resource-intensive care demands, underscoring the vital necessity for tailored support. Furthermore, these findings emphasize the ongoing imperative of enhancing rehabilitation strategies, particularly for patients with limited cognitive and physical progress, stressing the continued dedication to advancing rehabilitative approaches to benefit a broader range of patients and enhance their overall well-being. The results also indicated that there are no formal documented criteria used to assess eligibility for transfer from a tertiary care facility to a rehabilitation facility, highlighting a potential area for improvement in the rehabilitation protocol. Nevertheless, the rehabilitation provided is exhaustive, as denoted by the provision of continuous inpatient physical, occupational, speech, and nutritional therapy, as well as psychology.

本项回顾性研究（retrospective study）为南非地区首个针对儿科神经外科（paediatric neurosurgery）患者使用神经康复量表（neurorehabilitation scales）情况开展的调查研究。研究结果凸显了儿童神经康复的复杂特质：患者往往需要长期住院且照护资源消耗量大，这也凸显了定制化支持的迫切必要性。此外，上述研究结果强调了持续优化康复策略的紧迫性，尤其针对认知与躯体功能恢复进展有限的患者；同时凸显了持续推进康复技术革新、惠及更广泛患者群体并改善其整体健康福祉的重要意义。研究结果同时显示，目前尚无正式书面标准用于评估患者从三级医疗机构（tertiary care facility）转诊至康复机构（rehabilitation facility）的资格，这指明了康复诊疗方案（rehabilitation protocol）中有待完善的潜在方向。尽管如此，本次研究覆盖的康复服务十分全面，具体体现为为住院患者提供了持续的物理治疗（physical therapy）、作业治疗（occupational therapy）、言语治疗（speech therapy）、营养治疗以及心理干预服务。