Early discharge and rehabilitation in paediatric acquired brain and neurological injury: a transferable model

Rachel Keetley1, Laura Kelly1, William P Whitehouse1,2

  • 1Department of Paediatric Neurosciences, Nottingham Children's Hospital, Queen's Medical Centre, Nottingham, UK.

Insights

A new rehabilitation team and pathway significantly reduced hospital length of stay (LOS) for children with acquired brain injuries. This improved patient care, satisfaction, and financial outcomes, demonstrating effective intervention strategies.

Area of Science:

  • Pediatric Rehabilitation
  • Neuroscience
  • Healthcare Management

Background:

  • Children with acquired brain injuries (ABI) often face prolonged hospital stays.
  • Limited therapy access and inadequate discharge planning contribute to poor outcomes.
  • Stakeholder feedback highlighted the need for improved rehabilitation pathways.

Purpose of the Study:

  • To reduce length of stay (LOS) for pediatric patients with ABI.
  • To pilot an outreach model for enhanced rehabilitation.
  • To decrease costs and improve patient and family satisfaction.

Main Methods:

  • Implementation of a specialized multidisciplinary team.
  • Development and application of a new, proactive rehabilitation pathway.
  • Integration of an outreach model and structured discharge planning.

Main Results:

  • Significant reduction in length of stay (LOS) was achieved.
  • Demonstrated financial gains and cost-effectiveness.
  • Markedly increased patient and family satisfaction levels.

Conclusions:

  • The new team and pathway effectively improved quality of care for pediatric ABI patients.
  • Proactive rehabilitation and discharge planning are crucial for better outcomes.
  • The intervention model offers a financially viable approach to enhance patient recovery.

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