Inappropriate acute neurosurgical bed occupancy and short falls in rehabilitation: implications for the National Service Framework

Br J Neurosurg. 2006 Feb;20(1):36-9. doi: 10.1080/02688690600600855.


Patients undergoing neurosurgical intervention may require different types of organized rehabilitation. A prospective study was performed of the care needs of neurosurgical inpatients between the ages of 16 and 70 years who were in acute wards for more than 2 weeks. Only 58% of bed occupancy days were devoted to essential acute neurosurgical ward management. This figure was even lower for patients admitted with subarachnoid haemorrhage (36%) or traumatic brain injury (38%). Overall, 21% of bed days would have more appropriately spent in 'rapid access'/acute rehabilitation beds, 13% in 'active participation' rehabilitation beds and 5% in cognitive/behavioural rehabilitation units. Addressing this unmet need would increase the availability of acute neurosurgery beds, without needing to build and staff more neurosurgery wards.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bed Occupancy / statistics & numerical data*
  • Craniocerebral Trauma / rehabilitation*
  • Health Services Needs and Demand
  • Humans
  • Length of Stay
  • Long-Term Care / statistics & numerical data
  • Middle Aged
  • National Health Programs
  • Neurosurgery / statistics & numerical data*
  • Prospective Studies
  • United Kingdom