Abstract:
OBJECTIVE:To clarify the effect of early rehabilitation by physical therapists on in-hospital mortality among elderly patients with aspiration pneumonia. DESIGN:A retrospective cohort study. SETTING:A total of 1161 acute-care hospitals across Japan. PARTICIPANTS:Consecutive patients (age, 70-100 y) (N=68,584) from July 2010 to March 2012 in the Japanese Diagnosis Procedure Combination inpatient database with aspiration pneumonia on admission who underwent early physical therapist-guided rehabilitation (n=16,835) and who did not undergo rehabilitation administered by physical therapists (n=51,749). INTERVENTIONS:Early rehabilitation was defined as physical rehabilitation administered by a physical therapist, initiated within 3 days of admission, and undertaken for at least 7 days. MAIN OUTCOME MEASURE:Thirty-day in-hospital mortality. RESULTS:The 30-day in-hospital mortality rates were 5.1% and 7.1% in the early rehabilitation group and the control group, respectively. The multivariable logistic regression model showed that the early rehabilitation group had a significantly lower in-hospital mortality rate (odds ratio, .71; 95% confidence interval [CI], .64-.79; P<.001). Among patients without severe pneumonia, we found no significant difference in mortality rates between patients who underwent early rehabilitation and those who did not undergo rehabilitation by physical therapists. The instrumental variable analysis confirmed that early rehabilitation was associated with a reduced risk for in-hospital mortality (risk difference, -1.9%; 95% CI, -2.3% to -1.5%; P<.001; number needed to treat, 53 [95% CI, 43-67]). CONCLUSIONS:The data suggest that early rehabilitation by physical therapists was associated with a reduction in 30-day in-hospital mortality rates in elderly patients with severe aspiration pneumonia.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Momosaki R,Yasunaga H,Matsui H,Horiguchi H,Fushimi K,Abo Mdoi
10.1016/j.apmr.2014.09.014subject
Has Abstractpub_date
2015-02-01 00:00:00pages
205-9issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(14)01121-6journal_volume
96pub_type
杂志文章abstract:OBJECTIVE:To evaluate functional hop performance in subjects with an anterior cruciate ligament (ACL) reconstruction with a bone-patellar tendon-bone graft during 12, 18, 26, 39, and 52 weeks. DESIGN:A longitudinal comparative study. SETTING:University research laboratory. PARTICIPANTS:Patients (N=19) were evaluated...
journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2007.11.057
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abstract:OBJECTIVE:To compare cervical kinematics during functional motion in patients with neck pain and in asymptomatic participants using a novel virtual reality assessment. DESIGN:Clinical comparative trial. SETTING:Participants were recruited from university staff and students, and from a local physical therapy clinic. ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1016/j.apmr.2010.09.007
更新日期:2010-12-01 00:00:00
abstract::This essay complements the scientific and practice scope of the American Academy of Neurology Guideline on Disorders of Consciousness by providing a discussion of the ethical, palliative, and policy aspects of the management of this group of patients. We endorse the renaming of "permanent" vegetative state to "chronic...
journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::The response of geriatric patients to a multidisciplinary chronic pain rehabilitation program was measured by comparing outcome data on 17 older patients (55 to 78 years) to data on 20 younger patients (29 to 48 years) treated in the same program. Pretreatment data were obtained at an initial evaluation, and posttreat...
journal_title:Archives of physical medicine and rehabilitation
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doi:
更新日期:1988-12-01 00:00:00
abstract::This study was undertaken to determine whether levels of conditioning associated with conventional leg work are comparable to those associated with both arm and leg work. Six healthy men conditioned for 6 weeks using both arms and legs while a similar group of 5 men conditioned using legs alone. The subjects trained 3...
journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2016.02.016
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journal_title:Archives of physical medicine and rehabilitation
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doi:
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:To determine which neurologic disorders/lesions impair or restrict motor imagery (MI) ability. DATA SOURCES:CINAHL, Cochrane, Embase, MEDLINE, Web of Science, PsychINFO, Physiotherapy Evidence Database, and Grey Literature were searched between May 8 and May 14, 2014. Keywords and Medical Subject Headings fr...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2016-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90222-7
更新日期:1997-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80569-9
更新日期:1995-05-01 00:00:00
abstract::Rehabilitation has prospered in the last several years, but that prosperity is threatened by competition, manpower shortages, continuing preoccupation with costs, and government deliberations about funding changes. The comprehensive treatment team has been the foundation of rehabilitation, but its appropriateness has ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:To test the feasibility of a classification system developed to record the contents of treatment sessions intended to improve mobility and self-care by persons with a spinal cord injury (SCI) in clinical rehabilitation. DESIGN:Descriptive study. SETTING:Three Dutch SCI facilities. PARTICIPANTS:Participants...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.12.044
更新日期:2008-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 历史文章,杂志文章
doi:
更新日期:1988-10-01 00:00:00
abstract::The H-reflex has been recorded from the flexor carpi radialis muscle in the upper limb and vastus medialis (quadriceps) muscle in the lower limb in relaxed healthy subjects. The characteristics of these reflexes have been compared with those of the soleus H-reflexes, recorded with the same technique, and similar behav...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1990-03-01 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.2018.07.441
更新日期:2019-04-01 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.2012.08.210
更新日期:2013-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/j.apmr.2018.11.021
更新日期:2019-07-01 00:00:00
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doi:10.1016/j.apmr.2004.01.031
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2006.12.007
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
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更新日期:2001-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2009-12-01 00:00:00
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更新日期:2009-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.04.014
更新日期:2008-11-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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doi:
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更新日期:2003-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2018-02-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2012-01-01 00:00:00