Abstract:
OBJECTIVE:To investigate predictive factors for disposition after acute stroke. DESIGN:A nationwide survey (2004 National Acute Stroke Israeli Survey). SETTING:All 28 primary general medical centers operating in Israel. PARTICIPANTS:Acute stroke patients (n=1583) admitted during February and March 2004 and discharged from the primary hospital. INTERVENTIONS:Data collected on baseline characteristics, stroke presentation, type and severity, in-hospital investigation and complications, discharge disability, acute hospital disposition, and mortality follow-up. MAIN OUTCOME MEASURE:Hospital disposition to home, acute rehabilitation, or nursing facility. RESULTS:Among patients, 58.9% (n=932) were discharged home, 33.7% (n=534) to rehabilitation departments, and only 7.4% (n=117) to nursing facilities. Admission neurologic status was a good predictor of hospital disposition. Patients with severe strokes were mostly discharged to rehabilitation facilities. Patients with significant functional decline before the index stroke, resulting from a previous stroke or another cause, were sent to inpatient rehabilitation less frequently. Disability level at discharge from acute hospitalization had high predictive value in hospital disposition after stroke. In the northern region of Israel, a higher proportion of patients were sent home and a lower proportion to rehabilitation and nursing facilities, probably because of lower availability of rehabilitation care in this region of Israel. CONCLUSIONS:This nationwide survey shows that most stroke survivors in Israel are discharged home from the acute primary hospital. Good functional status before the index stroke is an important predictor for being sent to acute inpatient rehabilitation. Severity of neurologic impairment and level of disability after the stroke at discharge from the primary hospital are strong predictors for disposition after stroke in Israel. Our data may be useful in discharge planning for stroke patients by policy-makers and health care providers in Israel.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Treger I,Ring H,Schwartz R,Tsabari R,Bornstein NM,Tanne D,National Acute Stroke Israeli Survey Group.doi
10.1016/j.apmr.2007.11.001subject
Has Abstractpub_date
2008-03-01 00:00:00pages
435-40issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(07)01744-3journal_volume
89pub_type
杂志文章abstract:OBJECTIVE:(1) To compare the performance of subjects who have suffered a single lateralized cortical, ischemic stroke versus controls on measures of attention including a computerized dual visual attentional task to determine if this task is more sensitive for detecting the presence of subtle hemi-inattention compared ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/s0003-9993(97)90002-2
更新日期:1997-01-01 00:00:00
abstract::Since 1993, the numbers of hip and knee replacements in the United States have increased 2-fold to 3-fold while lengths of stay in acute care have decreased by about half, leading to a significant growth in the use of postacute rehabilitative care for patients with a joint replacement. To document these trends, this a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.10.035
更新日期:2009-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To determine if there was a change in the number of outpatient physical therapy (PT) and occupational therapy (OT) visits for Medicare beneficiaries, and in the number of beneficiaries receiving extended courses of >12 therapy visits, after the Jimmo vs Sebelius settlement. DESIGN:Cross-sectional analysis of...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.07.435
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To determine the relative and absolute reliability of the assessment of ambulatory walking activity during 2 consecutive weeks in patients with hematologic malignancies recovering at home from their medical treatment and to compare the physical activity level of hematologic cancer patients after high-dose ch...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.06.020
更新日期:2009-01-01 00:00:00
abstract::Symptomatic postpolio patients report improved function when they pace their activities, but this has never been objectively assessed. The purpose of this study was to determine whether seven symptomatic postpolio subjects would (1) have less evidence of local muscle fatigue and recover strength more readily when they...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::A new diaphragmatic breathing technique practiced without the aid of a physical corset is outlined, and the findings from a study of its application in the respiratory rehabilitation of asthmatic patients are presented. Sixty-seven asthmatic adults randomly assigned to either deep diaphragmatic breathing training, phy...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVE:To test whether unloading increases vulnerability to eccentric exercise-induced dysfunction and muscle injury. DESIGN:Before-after trial. SETTING:General community. PATIENTS OR OTHER PARTICIPANTS:Two women and 5 men (73 +/- 3kg [mean +/- SE]) who were active college students but were not trained in lower b...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90255-5
更新日期:1996-08-01 00:00:00
abstract::Ulnar motor and sensory nerve conduction velocities (NCV) were studied bilaterally in 20 able-bodied subjects for below elbow (BE) and across elbow (AE) segments to assess the effect of 4 different elbow positions on NCV (0 degrees, 45 degrees, 90 degrees, and 135 degrees). Although constant skin stimulation marker po...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.02.015
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that hybrid functional electrical stimulation (FES) row training would improve aerobic capacity but that it would remain strongly linked to level of spinal cord lesion because of limited maximal ventilation. DESIGN:Longitudinal before-after trial of 6 months of FES row training. SETTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.07.412
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To investigate the incidence and onset time of pneumonia for patients with severe traumatic brain injury (TBI) in the early phase of rehabilitation and to identify parameters associated with the risk of pneumonia. DESIGN:Observational retrospective cohort study. SETTING:Subacute rehabilitation department i...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.04.013
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To investigate whether needle evaluation added any important clinical information to normal nerve conduction studies in the evaluation of carpal tunnel syndromes. DESIGN:Retrospective review of electromyography (EMG) done with the referring diagnosis of possible carpal tunnel syndrome. SETTING:Outpatients s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90064-8
更新日期:1998-05-01 00:00:00
abstract::This study was conducted to establish the concurrent validity and interrater reliability of the Motor Assessment Scale (MAS) for stroke patients. Thirty hemiplegic subjects were tested with the MAS and the Fugl-Meyer Assessment (FMA), a reliable and validated test of motor function in stroke patients. The high correla...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-03-01 00:00:00
abstract::A commercial arm-leg ergometer was adapted so that combined bilateral arm-single leg work could be performed by unilateral lower extremity amputees from their own wheelchairs. Three middle-aged to elderly unilateral amputees performed progressive discontinuous bilateral arm crank and combined bilateral arm-single leg ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVE:To assess the effects of an 8-week aquatic exercise training program on functional capacity, balance, and perceptions of fatigue in women with multiple sclerosis (MS). DESIGN:Randomized controlled design. SETTING:Referral center of an MS society. PARTICIPANTS:Women (N=32; mean age ± SD, 36.4±8.2y) with dia...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2017.06.015
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the agreement between patient and proxy responses of the FIM instrument at 4 different periods of time during the first 6 months after hip fracture. DESIGN:Prospective cohort study. SETTING:A large urban health region with 2 tertiary hospitals that treat hip fractures. PARTICIPANTS:Patients (n=...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2006.06.008
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To characterize the association between traumatic brain injury (TBI) and chronic pain and pain disability in the context of comorbid conditions, posttraumatic stress disorder (PTSD), and depression to better inform care of combat veterans. DESIGN:Retrospective cohort study. SETTING:Medical centers and commu...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.03.026
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To determine, for a number of techniques used to obtain foot shape based around plaster casting, foam box impressions, and 3-dimensional scanning, (1) the effect the technique has on the overall reproducibility of custom foot orthoses (FOs) in terms of inter- and intracaster reliability and (2) the reproducib...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2011.12.019
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy of functional electrical stimulation (FES) in the rehabilitation of hemiparesis in stroke. DESIGN:A meta-analysis combined the reported randomized controlled trials of FES in stroke, using the effect size method of Glass, and the DerSimonian-Laird Random Effects Method for pooling stud...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/s0003-9993(96)90293-2
更新日期:1996-06-01 00:00:00
abstract::Dance injuries associated with cervical radiculopathy have not been described in the literature. This report describes the case of an international-style ballroom dancer who developed a cervical radiculopathy as a result of frequent lateral rotation and hyperextension of the cervical spine during dancing. The patient'...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(98)90281-7
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To determine whether family functioning is uniquely associated with caregiver depressive symptoms in the immediate aftermath of stroke. DESIGN:Cross-sectional data from the baseline assessment of an intervention study for stroke survivors and their families. SETTING:Neurology inpatient service of a large ur...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.12.014
更新日期:2009-06-01 00:00:00
abstract::To investigate variables potentially related to children's distress during electromyography/nerve conduction studies (EMG/NCS), mothers of 39 children ages two to 17 years reported the child's gender, experience with EMG/NCS, previous negative medical/dental experiences, general response to painful procedures, informa...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVES:To evaluate changes in sleep quality and objectively assessed sleep parameters after traumatic brain injury (TBI) and to investigate the relationship between such changes and mood state and injury characteristics. DESIGN:Survey and laboratory-based nocturnal polysomnography. SETTING:Sleep laboratory. PART...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.09.057
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of serial casting in the treatment of pressure ulcers caused by severe spasticity. DESIGN:Case series. SETTING:A clinic for the rehabilitation of persons with neurologic disorders. PATIENTS:Nine patients with 11 pressure ulcers resulting from severe cerebral spasticity, the ulce...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.27474
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To investigate the relationships among intoxication at time of injury, preinjury history of problem drinking, and early functional status in patients with traumatic brain injury (TBI). DESIGN:Prospective cohort study. SETTING:Acute inpatient TBI rehabilitation. PARTICIPANTS:Participants were 1748 persons w...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.07.047
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of an elasticated abdominal binder on respiratory, voice, and blood pressure outcomes for people with a motor complete acute tetraplegia during the first year after injury. DESIGN:Randomized crossover study. SETTING:Large university-affiliated referral hospital. PARTICIPANTS:Conse...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.apmr.2012.06.010
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:To validate the utility of the Berg Balance Scale (BBS) in predicting length of stay (LOS) and discharge destination for patients admitted to a stroke rehabilitation unit. DESIGN:Prospective study. SETTING:Provincial tertiary inpatient stroke unit for a primarily geriatric population. PARTICIPANTS:A total ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(02)04940-7
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To quantify the effect of exercise training on indices of pulmonary function in adults with chronic lung disease using meta-analytic techniques. DATA SOURCES:Eligible trials were identified using a systematic search of MEDLINE, Web of Science, Physiotherapy Evidence Database, and GoogleScholar databases. ST...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1016/j.apmr.2018.03.014
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:Although fatigue is a common debilitating complaint in multiple sclerosis (MS), its relationship to the cardiopulmonary exercise response has yet to be defined. DESIGN:A patient with MS manifested primarily by profound fatigue undergoes complete pulmonary function testing and a maximal incremental cycle ergo...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80515-x
更新日期:1995-06-01 00:00:00