A multicentre cohort analysis of a national clinical data set has shown that specialist rehabilitation can be highly cost-efficient for all neurological conditions, producing substantial savings in ongoing care costs, especially in high-dependency patients. The data from the UK specialist Outcomes Collaborative (UKROC) was published in the British Medical Journal (Turner-Stokes et al 2016).
UKROC’s study looked at functional outcomes, care needs and the cost-efficiency of specialist rehabilitation for a multicentre cohort of inpatients with complex neurological disability and compared different diagnostic groups across three levels of dependency.
Clinical data from 62 specialist (Levels 1 and 2) rehabilitation services in England was collected from the UKROC national database from 2010–2015. The patients were working-aged adults (16–65 years) with complex neurological disability; 4182 with Acquired Brain Injury, 506 with spinal cord injury, 282 with peripheral neurological conditions and 769 had progressive conditions. Outcome measures were recorded on admission and discharge and all received specialist inpatient multidisciplinary rehabilitation.
All groups showed significant reduction in dependency between admission and discharge on all measures. There was also a mean reduction in ‘weekly care costs’ which was greatest in the high-dependency group at £760/week, compared with the medium-dependency at £408/week and low-dependency at £130/week.
Turner-Stokes L, Williams H, Bill A et al. Cost-efficiency of specialist inpatient rehabilitation for working-aged adults with complex neurological disabilities: a multicentre cohort analysis of a national clinical data set.BMJ Open 2016;6:e010238 doi:10.1136/bmjopen-2015-010238