Abstract:
OBJECTIVE:To examine sociodemographic and clinical characteristics independently associated with discharge home compared with discharge to a skilled nursing facility (SNF) after acute inpatient rehabilitation. DESIGN:Retrospective cohort study. SETTING:Three tertiary accredited acute care rehabilitation facilities. PARTICIPANTS:Adult patients with stroke (N=2085). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Not applicable. RESULTS:Of 2085 patients with stroke treated at 3 centers over a 4-year period, 78.2% (n=1631) were discharged home and 21.8% (n=454) discharged to an SNF. Findings from a multivariable logistic regression analysis indicated that patients were less likely to be discharged home if they were older (odds ratio [OR], .98; 95% confidence interval [CI], .96-.99), separated or divorced (compared with married; OR, .61; 95% CI, .48-.79), or with Medicare health insurance (compared with private insurance; OR, .69; 95% CI, .55-.88), or had dysphagia (OR, .83; 95% CI, .71-.98) or cognitive deficits (OR, .79; 95% CI, .77-.81). The odds of being discharged home were higher for those admitted with a higher motor FIM score (OR, 1.10; 95% CI, 1.09-1.11). The following were not associated with discharge disposition: sex, race, prestroke vocational status, availability of secondary health insurance, number of days from stroke onset to rehabilitation facility admission, stroke type, impairment group, cognitive FIM on admission, other stroke deficits (aphasia, ataxia, neglect, or speech disturbance), stroke complications of hyponatremia or urinary tract infection, or comorbid conditions. CONCLUSIONS:One in 5 patients with stroke were discharged to an SNF after inpatient rehabilitation. On admission, several sociodemographic and clinical characteristics were identified that could be considered as important factors in early discussions for discharge planning.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Nguyen VQ,PrvuBettger J,Guerrier T,Hirsch MA,Thomas JG,Pugh TM,Rhoads CF 3rddoi
10.1016/j.apmr.2015.03.007subject
Has Abstractpub_date
2015-07-01 00:00:00pages
1297-303issue
7eissn
0003-9993issn
1532-821Xpii
S0003-9993(15)00255-5journal_volume
96pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To compare temporal, spatial, and oxygen costs of gait while elderly subjects walked without an assistive device, with a new assistive device, and with 2 other commercially available assistive devices. DESIGN:Descriptive, repeated measures. SETTING:University-based research laboratory. PARTICIPANTS:Thirtee...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.03.001
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:To understand the facilitators and barriers to community reintegration (CR) among injured female veterans. DESIGN:Phenomenologic qualitative design. SETTING:Community. PARTICIPANTS:Community-dwelling female veterans with physical and/or psychological injury (N=13). INTERVENTIONS:None. MAIN OUTCOME MEASUR...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2017.07.018
更新日期:2018-02-01 00:00:00
abstract::The purpose of this study was to determine the effects of 8 weeks of circuit strength training (CST) followed by 8 weeks of jogging and then 8 weeks, of CST or jogging. During the final 8 weeks, the subjects were randomly assigned to either CST or jogging groups. The subjects (n=16, x age = 29 yrs) exercised 3 days/we...
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:1979-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of brain-computer interface (BCI)-assisted motor imagery training to support hand/arm motor rehabilitation after stroke during hospitalization. DESIGN:Proof-of-principle study. SETTING:Neurorehabilitation hospital. PARTICIPANTS:Convenience sample of patients (N=8) with new-onset...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.05.026
更新日期:2015-03-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights prosthetic treatment considerations and challenges in children and young adults. It is part of the chapter on acquired limb deficiencies in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2001-03-01 00:00:00
abstract::A 12-week high resistance home exercise program was completed by 10 subjects with slowly progressive neuromuscular diseases (NMD) and 6 normal control subjects (CTL). After evaluating baseline maximal isometric and isokinetic strength of the elbow flexors and knee extensors, subjects completed the home program using a...
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:1994-05-01 00:00:00
abstract:OBJECTIVES:To operationalize research findings about a medical rehabilitation classification and payment model by building a prototype of a prospective payment system, and to determine whether this prototype model promotes payment equity. This latter objective is accomplished by identifying whether any facility or paym...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90299-9
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To examine the independent and combined impact of cognitive dysfunction and spasticity on driving tasks involving high cognitive workload and lower-limb mobility in persons with multiple sclerosis (MS). DESIGN:Single-visit cohort study. SETTING:Clinical research center. PARTICIPANTS:Participants included 1...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.12.049
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To test the hypotheses that people with hemiplegia using arms and legs to propel their wheelchairs perform better backward than forward and prefer the backward direction. DESIGN:Within-participant cross-sectional design. PARTICIPANTS:Manual wheelchair users (N=18) with hemiplegia caused by stroke, a sample ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2013.03.001
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic and clinical utility of the 2-item Generalized Anxiety Disorder Scale (GAD-2) for screening anxiety symptoms in individuals with multiple sclerosis (MS). DESIGN:Cross-sectional. SETTING:University-affiliated MS neurology and rehabilitation center. PARTICIPANTS:The sample comprised ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2018.05.029
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To determine bone mineral density (BMD) z scores in adults with cerebral palsy (CP), an understudied population. DESIGN:Cross-sectional. SETTING:Medical facility. PARTICIPANTS:Adults (N=48; mean age, 34.3±5.8y; range, 25-46y) with CP. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:BMD z scores at th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.03.012
更新日期:2015-07-01 00:00:00
abstract::Personality hardiness, which has been conceptualized as a potential internal resource facilitating stress resistance, was examined in conjunction with Type A behavior, perceived family cohesion and adaptability, and sociodemographic and medical variables to assess the independent differential correlations of these fac...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract::Despite the use of conventional therapeutic techniques, increasing kyphosis, chest restriction and worsening burn scar hypertrophy occurred in a 9-year-old boy with burn trauma. In an attempt to alleviate these problems a device consisting of a plastizote molded 2-piece body jacket which incorporates a full neck and c...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract:OBJECTIVE:To identify instruments that measure community participation in people with disabilities and to evaluate which domains, to what extent, and how precisely they address this construct. The review aims to provide information to guide the selection of community participation instruments and to identify limitation...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2012.10.031
更新日期:2013-04-01 00:00:00
abstract::Following shoulder arthrography to establish the diagnosis of adhesive capsulitis, we injected steroids via the in situ arthrogram needle. Subsequent intraarticular steroids, if needed, were given at the outpatient clinic using landmarks established at the time of arthrography. Out of 18 patients treated, function suf...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1978-06-01 00:00:00
abstract::As epidurography uses a water-soluble contrast medium in the diagnosis of disc lesions, this procedure can be repeated, unlike conventional myelography which uses an oily contrast medium. Successful employment of epidurography before and after traction in 14 cases of adult prolapsed intervertebral disc syndrome is des...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVE:The purpose was to determine if intermittent pneumatic compression (IPC) affects muscle swelling, stiffness, and strength loss resulting from eccentric exercise-induced injury of the elbow flexors. We hypothesized that the compression would decrease swelling and stiffness. DESIGN:Repeated measures design wit...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(95)80529-x
更新日期:1995-08-01 00:00:00
abstract::The coronavirus disease 2019 (COVID-19) pandemic is having a profound effect on the provision of medical care. As the curve progresses and patients are discharged, the rehabilitation wave brings a high number of postacute COVID-19 patients suffering from physical, mental, and cognitive impairments threatening their re...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2020.09.372
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To assess the applicability of a short-course regimen of antibiotics for managing catheter-associated urinary tract infection (CA-UTI) in patients with spinal cord injury (SCI). DESIGN:Randomized, controlled, noninferiority trial. SETTING:Medical center. PARTICIPANTS:Patients with SCI who had CA-UTI (N=61)...
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.2013.09.003
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of a patient's sex on various measures of injury severity and outcome after rehabilitation in a matched sample of patients with traumatic brain injury (TBI). DESIGN:Retrospective data were retrieved from a database that contains information routinely collected on all patients admitt...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.05.007
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:To investigate environmental barriers reported by stroke survivors in the rural areas of China and to determine the impact of environmental barriers on activity and participation relative to demographic characteristics and body functioning. DESIGN:Cross-sectional survey. SETTING:Structured interviews in th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2015.01.024
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To define relationships among various clinical characteristics of pain occurring after spinal cord injury (SCI). DESIGN:Postal survey. SETTING:General community. PARTICIPANTS:Of 330 subjects with SCI reporting chronic pain in a previous survey, 217 volunteered. INTERVENTIONS:Not applicable. MAIN OUTCOME ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25077
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To test the psychometric properties of a newly developed measure of caregiver self-efficacy, the Caregiver Self-Efficacy Scale for Transfers (CSEST), a 14-item questionnaire that measures the perceived self-efficacy of adult caregivers of dependent children and focuses on their perceived abilities and the cha...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.01.019
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To explore the relation between vitamin D and physical function outcomes in people with spinal cord injury (SCI). DESIGN:Cross-sectional study. SETTING:Rehabilitation institute. PARTICIPANTS:Consecutive patients (N=100; 72 men and 28 women) with chronic SCI admitted to a rehabilitation program. INTERVENTI...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2016.01.002
更新日期:2016-05-01 00:00:00
abstract::This paper outlines a suggested protocol for community exercise programs for the rehabilitation of patients with coronary heart disease. Information presented is based on more than seven years of experience gained by the Cardio-Pulmonary Research Institute through programs in Seattle, Mercer Island, and Yakima, WA, an...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract:OBJECTIVE:To identify trends in the demographic and injury data of persons with spinal cord injury (SCI). DESIGN:Consecutive case series. SETTINGS:Model Spinal Cord Injury Care Systems throughout the United States. PATIENTS:A total of 25,054 persons admitted to a Model Spinal Cord Injury Care System within 365 days ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90247-2
更新日期:1999-11-01 00:00:00
abstract::Subarachnoid-pleural fistulas caused persistent pleural effusion in 2 patients with traumatic paraplegia. The fistulas were diagnosed by myelography and radioisotope scan. Most of the previously reported cases of this rare entity have been treated by operative closure of the fistula. Both of the reported patients reco...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::Four patients with end-stage renal failure on maintenance hemodialysis and one patient with near end-stage renal failure received inpatient rehabilitation following lower extremity amputation. All were prosthetically restored. Three of the patients had bilateral below-knee amputations and were ambulatory at the time o...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
abstract:OBJECTIVE:To assess the relationship between foot pressures measured during level walking and other types of ambulatory activity in subjects with diabetes mellitus (DM) and peripheral neuropathy (PN). DESIGN:Descriptive survey with repeated measures. SETTING:University medical center. PARTICIPANTS:Convenience sample...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.06.004
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the medium-term functional effect and the effect on quality of life of a standardized rehabilitation program in patients with inflammatory myopathies (IMs). DESIGN:A multicenter, randomized controlled trial. SETTING:Four university hospitals. PARTICIPANTS:Patients (N=21) with polymyositis. INT...
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
doi:10.1016/j.apmr.2016.09.125
更新日期:2017-02-01 00:00:00