Analysis results The indication for hospitalization of the patient is the need to provide qualified, specialized and high-tech medical care with round-the-clock medical supervision.
Hospitalization of patients in the subsurface is carried out in accordance with the List of medical services provided by the CDR.
The hospitalization of a patient in a hospital within the framework of the GOBMP is carried out as planned – in the direction of specialists of primary health care (polyclinic) or a medical organization through the Portal “Bureau of Hospitalization”.
List of diseases subject to rehabilitation treatment in the CDR
| № | Name of nosology | ICD– 10 |
| 1. | Cerebral Palsy-Spastic Cerebral Palsy-Spastic Diplegia-Infantile Hemiplegia-Dyskinetic Cerebral Palsy-Atactic Cerebral Palsy | G 80G 80.0G 80.1G 80.2G 80.3G 80.4 |
| 2. | Consequences of intracranial injury | Т 90.5 |
| 3 | Consequences of spinal cord injury Consequences of upper limb nerve injury Consequences of upper limb nerve injury | Т 91.3Т 93.4Т 92.4 |
| 4 | Lesion of individual nerves, nerve roots and plexuses, polyneuropathy:-Neuralgia after shingles-Other lesions of the facial nerve damage of the nerve roots and plexuses-Defeat of the brachial plexus-Defeat of the lumbosacral plexus-Other lesions of the nerve roots and plexus of the upper limb- Carpal tunnel syndrome- Other lesions of the median nerve- Ulnar nerve damage- Radial nerve damage- Other mononeuropathies of the upper extremity- Lower limb mononeuropathy- Sciatic nerve- Femoral neuropathy lesion and other peripheral nervous system lesions-Hereditary and idiopathic neuropathy- Hereditary motor and sensory neuropathy-Neuropathy in combination with hereditary ataxia-Other hereditary and idiopathic neuropathiEsinflammatory polyneuropathy:- Guillain-Barre syndrome-Other inflammatory polyneuropathies – Other polyneuropathies:-Medicinal polyneuropathy-Polyneuropathy caused by other toxic substances | G 53.0G 51.8G 54G 54.0G 54.1G 54.8G 56G56.0G56.1G56.2G56.3G56.8G57G57.0G57.2 G 60G 60.0G 60.2G 60.8G 61.0G 61.G 62G 62.0G 62.2 |
| 5 | Consequences of inflammatory diseases of the central nervous system | G 09 |
| 6. | -Hemiplegia-Sluggish hemiplegia-Spastic hemiplegia-Unspecified Hemiplegia-Paraplegia and tetraplegia-Sluggish paraplegia-Spastic paraplegia-Sluggish tetraplegia-Spastic tetraplegia-Other paralytic syndromes-Upper limb Diplegia-Lower limb Monoplegia-Upper limb Monoplegia-Ponytail syndrome | G81G81.0G81.1G81.9G82G82.0G82.1G82.3G82.4G83G83.0G83.1G83.2G83.4 |
| 7 | Consequences of cerebrovascular diseases;-Consequences of subarachnoid hemorrhage-Consequences of intracranial hemorrhage-Consequences of other non-traumatic intracranial hemorrhage-Consequences of brain infarction | I 69I 69.0I 69.1I 69.2 I 69.3 |
| 8 | Congenital malformations of the nervous system:-Microcephaly-Congenital hydrocephalus-Congenital anomaly of the corpus callosum-Arinencephaly-Holoprosencephaly-Other reduction deformities of the brain-Septooptic dysplasia-Megalencephaly-Congenital cerebral cysts of type bifida-Hypoplasia and dysplasia of the spinal cord-Other specified spinal cord malformations-Arnold-Kiyari syndrome | Q 02Q 03Q 04.0Q 04.1Q 04.2Q 04.3Q 04.4Q 04.5Q 04.6Q 05Q 06.1Q 06.8Q 07.0 |
| 9 | Other speech and language development disorders | F 80.8 |
| 10 | Psychological Development Disorder-Childhood Autism-Atypical Autism-Rett Syndrome Asperger syndrome | F 84.0F 84.1F 84.2F 84.5 |
| 11 | Sensorineural hearing loss is bilateral (after cochlear implantation from 1-1.5 months after surgical treatment) | H 90.3 |
| 12 | Down’s disease | Q 90 |
| 13 | Diseases of the neuromuscular synapse and muscles:-Muscular dystrophy-Myotonic disorders-Drug myopathy | G 71G 71.0G 71.1G 72.0 |
| 14 | –Hydrocephalus-Communicating hydrocephalus Other brain lesions-Cerebral cyst-Anoxic brain lesion, not classified elsewhere-Other spinal cord diseases | G 91G 91.0G 93G 93.0G 93.1 G 95 |
| 15 | Rare diseases:-Hereditary ataxia-Congenital non-progressive ataxia-Early cerebellar ataxia-Late cerebellar ataxia-Cerebellar ataxia with impaired DNA repair-Hereditary spastic paraplegia-Other hereditary ataxia-Other degenerative diseases of the basal ganglia-Dystonia-Multiple sclerosis-Other demyelinating diseases of the central nervous system | G 11G 11.0G 11.1G 11.2G 11.3G 11.4G 11.8G 23G 24G 35G 37 |
List of contraindications to rehabilitation treatment in the NCCR
Frequent or profuse bleeding of various origins, severe anemia with hemoglobin levels less than 80 g/l; generalized, frequently recurring seizures of various etiologies (with remission within 6 months);
Acute infectious diseases;
Active stage of all forms of tuberculosis (A 15.0–1; A 15.5; A 15.7–9);
Malignant neoplasms (stages III-IV);
Insufficiency of respiratory function of more than III degree;
Febrile fever or subfebrile fever of unknown origin;
The presence of complex, severe concomitant diseases (including protein-energy deficiency of the 3rd degree, anemia of the 3rd degree);
Diseases in the decompensation stage, including uncorrectable metabolic diseases (diabetes mellitus, myxedema, thyrotoxicosis and others).
Purulent skin diseases, infectious skin diseases (scabies, fungal diseases and others), trophic changes (bedsores);
The activity of the rheumatic process of the 2nd degree and higher, the presence of hormonal therapy;
Ankylosis and persistent irreversible contractures;
Mental illnesses with personality desocialization (F 00; F 02; F 03; F 05; F 10–F 29; F 63; F 65; F 70–F 79);
Vegetative state, apallic syndrome
In the presence of other concomitant diseases that prevent active participation in the rehabilitation program for 2-3 hours a day.
Note:
– palliative care services are prescribed to patients in a vegetative state. In cases of rehabilitation potential, patients are referred to the stages of medical rehabilitation in accordance with international criteria;
– patients diagnosed with emotional and behavioral disorders with aggression towards themselves and others are sent to psychiatric hospitals (dispensaries).
List of documents required for hospitalization in the NCCR
Passport or identity card of the parent, birth certificate of the child (original and photocopy)
Power of attorney for the child, notarized (if the caregiver is not a parent)
Referral for hospitalization, a coupon for planned hospitalization
Detailed extract from the history of the child’s development
Laboratory tests and necessary medical documents for the child:
a) General analysis of urine and blood (10 days);
b) A smear on BL from the pharynx and nose (diphtheria), valid from the date of issuance of the analysis result for 10 days;
c) Bacteriological analysis of feces for salmonellosis (only children under 2 years old), valid from the date of issue of the analysis result for 10 days;
d) Pinworm egg scraping/enterobiosis (valid from the date of issue of the analysis result for 10 days).
e) Feces on worm eggs (valid from the date of issue of the analysis result for 10 days);
f) Conclusion of a phthisiologist for children under 14 years of age. For children from 15 years of age, fluorography / snapshot (copy) of the chest organs with the conclusion of a radiologist or the conclusion of a phthisiologist;
g) The conclusion of the pediatrician about the absence of contraindications to rehabilitation treatment for concomitant pathology (acute / chronic with indication of the period, based on the conclusion of narrow specialists and “D” accounting);
h) Data on preventive vaccinations (copy);
i) Certificate of epidemiological environment (valid for 3 days);
j) Laboratory tests necessary for parents to care for the child;
k) A smear on BL from the pharynx and nose (diphtheria), valid from the date of issuance of the analysis result for 10 days;
l) Bacteriological analysis of feces for salmonellosis (valid from the date of issue of the analysis result for 10 days);
m) Feces on worm eggs (valid from the date of issue of the analysis result for 10 days);
n) Fluorography/snapshot (copy) of the chest organs with the conclusion of a radiologist or the conclusion of a phthisiologist;
o) Blood for microreaction (10 days);
p) A certificate from the therapist about the absence of contraindications to hospitalization for the care of concomitant pathology.
Note:
Repeated rehabilitation is carried out once a year.
In case of concomitant chronic pathology, it is necessary to carry out
consultations of a specialized specialist, where the stage of chronic pathology, recommendations and the absence of contraindications for rehabilitation treatment should be indicated.
If X–rays, CT scans, MRI scans, EEG and other studies are available, provide them to the doctor upon admission.
The child and the accompanying person must be provided with shoes and clothing according to the season, removable non-slip shoes (closed), 4-5 changes of underwear, handkerchiefs, sports uniforms, a bathing suit for the child, toiletries (soap, toothbrush, paste, shampoo, comb, etc.).
The list of documents for hospitalization of the adult population in the paid day and round-the-clock hospital of the NCCR
Patient’s identity document (passport or ID card) (original and photocopy);
A detailed extract from the history of the development of all transferred diseases, special reactions of the body;
Laboratory tests and necessary medical documents for the patient:
a) General blood test;
b) General urine analysis;
c) A smear from the throat and nose on BL (diphtheria);
d) Feces on eggs worm;
e) Fluorography/snapshot (copy) of the chest organs with the conclusion of a radiologist or the conclusion of a phthisiologist;
f) Blood for microreaction;
g) ECG
h) For patients after stroke, consultation with a cardiologist.
Note:
If there is a concomitant chronic pathology, it is necessary to consult a specialized specialist, where the stage of chronic pathology, recommendations and the absence of contraindications for rehabilitation treatment should be indicated.
If X–rays, CT scans, MRI scans, EEG and other studies are available, provide them to the doctor upon admission.
The patient should be provided with shoes and clothing according to the season, removable non-slip shoes (closed), a change of underwear, handkerchiefs, sports uniforms, a bathing suit, toiletries (soap, toothbrush, paste, shampoo, comb, etc.).