Program

P016

Poster

Problems related to hospital discharge of disabled people in Lebanon

Prof Khalil GHOUSSOUBa, Ms Rime EL HAGEa, Dr Ali MOUSTAPHAb, Ms Maya MOUSSAa, Dr Toni IBRAHIMa, Mr Wadih NASSOURa

a CHU Hotel Dieu de France, b Clinique Saint-Roch -France

INTRODUCTION: The aim of study is to compare a population of disabled people taken in charge by multidisciplinary team of rehabilitation in a rehabilitation center (RC) in France and Lebanon, looking for factors that may limit accessibility or medical care and the challenges of socio-professional reintegration.

MATERIALS AND METHODS: Prospective, descriptive and comparative study, made on disabled hospitalized people in 2 RC (Lebanese and French). A grid includes demographics, disabling conditions, characteristics related to hospitalization and problems found at the exit and the socio-professional reintegration. Information is collected on Microsoft Excel 2007 and information processing performed on SPSS Version 18 software.

RESULTS: 30 patients, including 18 handicapped in Lebanon (L) and 12 in France (F). 60% female, mean age 70 years [36-92]. Main pathology: AVC 33.3%, 43.3% fractures ... Average Length of stay: F 169 days [SD = 272 days] against L: 39 [SD = 20 days]. (P value = 0.4). Social coverage rate: F 100% [SD = 0]; L 90% [SD = 7%]. (P value = 0.01) .The length of stay was limited by the paying agent for 8.3% in France 9.4%. Hospitalization shortened for budgetary reasons F 8.3%; L 33.3%. The discharge from hospital to home: F 75%; L 94.4%. Home medical care provided by nurses F 58.3%; L 22.2%. Rehabilitative care to continue: physiotherapy F 75%; L 66.7%, occupational and speech therapy F 16.7%; L 7,5% . 50% of patients in France were the main financial resource of the family before the handicap against 11.1%.

The majority of patients were retired. 25% had a job full time in France versus 11.1% in Lebanon.

CONCLUSION: disabling conditions are comparable in Lebanon and France, as well as hospital care. The discharge from the hospital is premature in Lebanon for budgetary reasons and socio-professional reintegration is more difficult and almost impossible.

Keywords : disability,hospital discharge, problems