Abstract:
OBJECTIVE:The aims of this study were to design patient-oriented risk models that elucidate the interactions among depressive symptoms, physical function, and sociodemographic markers and delineate the association of these indicators with 30-day readmissions. DESIGN:This prospective longitudinal study examined readmissions within 30 days of an index operation among adults (>18 yrs) undergoing outpatient surgery. The primary exposures were measures of physical function, depression, and sociodemographic factors. Multivariable logistic regression and hierarchical generalized linear mixed models with fixed and random effects tested interactions and association of these factors with 30-day readmissions. RESULTS:Adjusting for covariates and interaction terms, depressive symptoms (adjusted odds ratio, 2.50; 95% confidence interval, 1.45-4.29) and low physical function (adjusted odds ratio, 1.68; 95% confidence interval, 1.15-2.13) increased the odds of 30-day readmissions. Stratified by socioeconomic status (SES), those in the lowest SES group with depressive symptoms had a 73% increase in probability of readmissions (adjusted odds ratio, 2.67; 95% confidence interval, 1.10-4.07). Stratified by depressive symptom severity, being married or having a life partner lowered the readmission odds (adjusted odds ratio, 0.52; 95% confidence interval, 0.31-0.88). Final models had good discrimination and fitness (area under the curve, 0.710; corrected Akaike Information Criterion, 541.1). CONCLUSIONS:Within 30 days of index surgery, depressive symptom severity moderated the association of sociodemographic, social support and physical function indicators with 30-day readmissions.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Odonkor CA,Hurst PV,Kondo N,Makary MA,Pronovost PJdoi
10.1097/PHM.0000000000000213subject
Has Abstractpub_date
2015-07-01 00:00:00pages
555-67issue
7eissn
0894-9115issn
1537-7385journal_volume
94pub_type
杂志文章abstract::In this study, we sought to assess the cardiopulmonary functions in three pediatric heart transplant recipients, two of whom are with dilated cardiomyopathy, whereas one is with cyanotic heart disease, in early postoperative period. Cardiopulmonary exercise testing was performed using an incremental cycling at 1 mo af...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e318238a0b1
更新日期:2012-02-01 00:00:00
abstract::The H reflex is a monosynaptic reflex whose latency can be used to evaluate pathology of the S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve root and axon. Little has been written about the use of the H reflex amplitude in evaluating S1 nerve physiology. A...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199705000-00003
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate and compare the mechanical responses of dorsal neck muscles in individuals with whiplash-associated disorders (WAD) versus healthy individuals. DESIGN:This study included 36 individuals with WAD (26 women and 10 men) and 36 healthy controls (26 women and 10 men). Ultr...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000845
更新日期:2018-02-01 00:00:00
abstract::Pressure ulcers are a prevalent and potentially serious medical problem encountered in both the medical and rehabilitation settings. Because the progress of rehabilitation is often interrupted by the presence of pressure ulcers, the efficient care of these wounds is of great interest to the rehabilitation team. Patien...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00002060-199809000-00006
更新日期:1998-09-01 00:00:00
abstract::A hemiplegic patient with severe upper extremity spasticity 2 years after a cerebrovascular accident received a diagnostic median nerve block below the elbow with bupivacaine. He had been placed on Coumadin as prophylaxis for cerebrovascular arteriosclerotic disease, and prothrombin time was kept at twice the control ...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-198804000-00009
更新日期:1988-04-01 00:00:00
abstract:OBJECTIVE:To determine the clinical usefulness of the compound nerve action potential of the common peroneal nerve recorded immediately distal to or at the fibular neck, at the same time stimulating the common peroneal nerve laterally at the posterior knee. DESIGN:For recording the compound nerve action potential of t...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200102000-00006
更新日期:2001-02-01 00:00:00
abstract::There are scant data available on the neuromuscular and psychological characteristics of patients with cumulative trauma disorders. We compared 16 subjects with work-related forearm and hand pain in the dominant upper limb with 9 age-matched control subjects. Pain subjects were divided into two groups based on nerve c...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199911000-00009
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:Respiratory management of patients with end-stage respiratory muscle failure of neuromuscular disease has evolved from no treatment and inevitable respiratory failure to the use of up to continuous noninvasive intermittent positive pressure ventilatory support (CNVS) to avert respiratory failure and to permit...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/PHM.0b013e31826edcf1
更新日期:2013-03-01 00:00:00
abstract::This study examined the comparability of estimates of functional status elicited through a telephone interview and a face-to-face interview. The Barthel Index, a commonly used measure to assess activities of daily living, was administered over the telephone and then again in the home to 366 individuals, up to 5 yr aft...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199501000-00003
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:To evaluate health-related quality of life and disability in multiple-trauma patients requiring intensive care unit management. DESIGN:A total of 87 survivors of multiple trauma, with a median age of 31 yrs and a median Injury Severity Score of 22, were enrolled in the present study. The Nottingham Health Pr...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000107497.77487.c1
更新日期:2004-03-01 00:00:00
abstract::Thromboembolic obstruction of the brachiocephalic artery can have significant functional consequences because it threatens arterial circulation to the right upper limb and right cerebrum. A case is presented of a young man who sustained right basal ganglia infarct 2 mo after suffering multiple gunshot wounds to his ch...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199901000-00016
更新日期:1999-01-01 00:00:00
abstract::The treatment of inpatients in a contiguous hospital area designated the Arthritis Rehabilitation Unit (ARU) as opposed to the treatment of patients on units discretely spaced throughout the hospital was studied by means of independent retrospective audit of randomly chosen charts with the primary diagnosis of rheumat...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-12-01 00:00:00
abstract::A 28-year-old African American male with a history of synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome, tobacco use, and sickle cell trait was referred to a physiatrist at a multidisciplinary spine center with a one-year history of non-traumatic thoracic back pain that had significantly worsene...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001513
更新日期:2020-07-01 00:00:00
abstract::Evidence-based medicine is regarded by many as the new paradigm in medical practice. Sixty-seven medical school faculty and trainees in a physical medicine and rehabilitation department were surveyed with regard to training and competence in the use of evidence-based medicine techniques. The majority of subjects in th...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199905000-00008
更新日期:1999-05-01 00:00:00
abstract::Data were collected prospectively over a 10-yr period from 53 subjects with facioscapulohumeral muscular dystrophy (FSHD) to provide a profile of impairment and disability. Manual muscle testing (MMT) indicated greater involvement of proximal musculature, although a subgroup demonstrated early weakness of the ankle do...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199509001-00007
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to test the effect of various unstable support surfaces on the relevance of muscular proprioceptive signals originating from the ankle joint. DESIGN:Ten healthy subjects were instructed to stand as still as possible on a force plate during 40 secs on three different surfaces: (1...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000137
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To compare the sensitivity of median sensory nerve conduction tests performed by stimulating digital branches in patients with carpal tunnel syndrome. DESIGN:A prospective study in 506 hands of patients with carpal tunnel syndrome diagnosed electrophysiologically. RESULTS:The sensitivity of median sensory n...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.PHM.0000104662.71129.B9
更新日期:2004-01-01 00:00:00
abstract::High-level mobility is important for participation in many pre-accident activities after traumatic brain injury (TBI). This review examined which measures are used to quantify physical status and mobility after TBI to determine their appropriateness for measuring high-level mobility. Electronic databases, hand searchi...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/01.phm.0000146503.25221.1d
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to evaluate a longitudinal assessment program for physical medicine and rehabilitation (LA-PM&R) as a replacement for the American Board of Physical Medicine and Rehabilitation maintenance of certification examination. DESIGN:In this quality improvement study, randomly selected Ameri...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000001359
更新日期:2020-05-01 00:00:00
abstract::The hemipelvectomy, most commonly performed for pelvic tumor resection, is one of the most technically demanding and invasive surgical procedures performed today. Adequate soft tissue coverage and wound complications after hemipelvectomy are important considerations. Rehabilitation after hemipelvectomy is optimally ma...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
doi:10.1097/PHM.0000000000000068
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:Habitual stretching exercise increases carotid arterial compliance, and acute stretching exercise increases arterial compliance in patients with myocardial infarction. However, it is not known whether this arterial adaptation is sustained after exercise. The aim of this study was to examine the effect of a si...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000498
更新日期:2016-10-01 00:00:00
abstract::A man in his 70s presented for acute rehabilitation with severe acute flaccid asymmetric weakness in both lower limbs. Cerebrospinal fluid and serum immunoglobulin M titers were positive for West Nile virus. Electrodiagnostic studies demonstrated severe diffuse motor axonopathy consistent with an anterior myelitis. El...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000184160.87895.ea
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:The authors conducted this cross-sectional study to assess the influence of submaximal exercise on postural stability as measured by computerized dynamic posturography (CDP) and compared this study's CDP results with clinical balance tests such as the Berg Balance Test and the Timed Up and Go test using a des...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000311
更新日期:2015-10-01 00:00:00
abstract::Niebuhr and Marion (Am J Phys Med Rehab 1990;69:96-101) recently presented a study that utilized healthy subjects who were able to control the amount of force exerted during submaximal grip strength efforts. Stokes (J Occup Med 1983;25:683-684) proposed that a true weakness of grip can be distinguished in the injured ...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to describe the rate and the types of resident physician peer-reviewed publications. Variables of interest include the type of publications, subject matter, external funding, study design, and quality of research by resident physicians published while in training. DESIGN:This is a r...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e3182876197
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:Women are disproportionately affected by musculoskeletal disorders. Parous women seem to be at a particularly elevated risk for structural and functional changes in the lower limbs. The combination of increased weight on the joints with potentially greater laxity during pregnancy could lead to permanent struc...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e31827443a9
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To examine changes in functional status and health-related quality of life (HRQOL) during inpatient stroke rehabilitation to examine the associations between changes in the two measures. DESIGN:Two independently collected databases were combined for a retrospective analysis. One contained the objectively ass...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000240666.24142.f7
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:The so-called bone-derived growth factor, beta2-microglobulin, has a regulatory function in bone metabolism by stimulating osteoclast activity. We undertook this study because osteoclast activity is known to be enhanced in patients with immobilized stroke, suggesting that their beta2-microglobulin concentrati...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,收录出版
doi:10.1097/00002060-200101000-00005
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To evaluate function and disability in patients with fibromyalgia before and after participation in a functionally oriented, multidisciplinary, 8-wk treatment program. DESIGN:A total of 23 patients who met American College of Rheumatology criteria for the diagnosis of fibromyalgia were enrolled in the study....
journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1097/01.phm.0000228677.46845.b2
更新日期:2006-08-01 00:00:00
abstract::Because of their expertise, physiatrists provide disability insurance assistance for cancer survivors. In this brief report, we perform a descriptive retrospective analysis of all new (354) outpatient physiatry consultations from January 1, 2009, to December 31, 2013, at a National Cancer Institute Comprehensive Cance...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000641
更新日期:2017-07-01 00:00:00