Abstract：
OBJECTIVE:To examine the added benefit of home health services for elderly patients with hip fracture discharged home after inpatient rehabilitation. DATA:Medicare claims from 1% of 1986 beneficiaries followed until 1992. STUDY POPULATION:Persons hospitalized with hip fracture at 70 years or older who had no major Medicare claims during the year before hospitalization and who were discharged home after inpatient rehabilitation. OUTCOMES:Rehospitalization and any nonskilled nursing facility (non-SNF) nursing home admission during the 12 months after hospital discharge. RESULTS:Patients who received additional home health services (27.2%) were less likely to be hospitalized than those who received rehabilitation only (31.1%); they were also less likely to have a non-SNF nursing home admission (11.3% vs 23.3%), and more likely to survive the year with no subsequent Medicare claims (65.6% vs 55%). Propensity scores were used to adjust for nonrandom treatment selection in a Cox proportional hazards analysis showing that home health was associated with a significantly lower risk of nursing home admission (adjusted odds ratio = .42, 95% confidence interval .21-.84), and hospitalization (adjusted odds ratio = .65, 95% confidence interval .26-1.00). CONCLUSIONS:Studies of the relative effectiveness of post-acute services and postdischarge evaluations of inpatient rehabilitation should consider additional home care as a postacute service and examine optimal postacute treatment to minimize additional service use.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Intrator O,Berg Kdoi
10.1016/s0003-9993(98)90261-1subject
Has Abstractpub_date
1998-10-01 00:00:00pages
1195-9issue
10eissn
0003-9993issn
1532-821Xpii
S0003-9993(98)90261-1journal_volume
79pub_type
杂志文章abstract：:Twelve male patients with traumatic spinal cord injury were randomly divided into a group of six experimental and six control subjects. All subjects were tilted from 0 degree to 70 degrees by 10 degrees increments at five-minute intervals until blood pressure dropped below 70/40, hypotensive symptoms appeared, or 70 d...
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：1984-05-01 00:00:00
abstract：OBJECTIVE:To investigate the effects of a late-phase exercise program for patients who underwent total hip arthroplasty (THA) 4 to 12 months earlier. DESIGN:A single-blind, randomized controlled trial. SETTING:Exercises were performed in subjects' homes. Exercise instruction and measurements taken before and after th...
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：10.1016/j.apmr.2003.11.022
更新日期：2004-07-01 00:00:00
abstract：:The purpose of this study was to investigate the effects of 3 intensities of isometric handgrip contractions on selected cardiovascular parameters and perception of effort, and to determine the relationship of these cardiovascular parameters to perception of effort. Seven healthy subjects were instructed to maintain 3...
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：1982-05-01 00:00:00
abstract：OBJECTIVES:Examine the amount and nature of research activity in head and neck cancer (HNC) rehabilitation; highlight publication trends, including information about the authors, settings, and study designs; and identify gaps in the existing literature. DATA SOURCES:Eligible studies were identified using PubMed, Embas...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2019.03.022
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. DESIGN:Secondary data analysis. SETTING:U.S. Medicare-certifie...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.01.003
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To examine functional outcome and descriptive data of individuals with neoplastic spinal cord compression admitted to a rehabilitation unit. DESIGN:A 5-year review of consecutive patients admitted to a spinal cord injury rehabilitation unit with a diagnosis of neoplastic spinal cord compression. SETTING:A t...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(96)90276-2
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVES:To review the experimental evidence and development of concepts in knee kinematics and to present a synthesis of current theories. DATA SOURCES:Historical literature from private collections and published journals, from Galen in 160 AD, and Weber and Weber in 1860, through to current research in knee kinema...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/s0003-9993(03)00281-8
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVE:To determine whether regular performance of adapted sports is associated with long-term changes in carotid atherosclerosis in subjects with spinal cord injury (SCI). DESIGN:Prospective observational study. SETTING:Academic medical center. PARTICIPANTS:Men with chronic (>1y) SCI and no preserved motor funct...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2015.11.002
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To determine the predictive value of discharge destination as a surrogate for defining unfavorable outcome at 3- and 12-months poststroke. DESIGN:Analysis of the prospectively collected data from a randomized, placebo-controlled trial in patients with ischemic stroke presenting within 3 hours of symptom onse...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2012.02.032
更新日期：2012-08-01 00:00:00
abstract：:Therapeutic benefits of low-output helium-neon laser therapy have not been established, but laser therapy has been suggested as an effective means of treating many acute and chronic musculoskeletal pain syndromes. Although not released for general clinical use by the FA, the helium-neon laser has been promoted to phys...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：
更新日期：1988-12-01 00:00:00
abstract：OBJECTIVE:To create gross motor function growth curves for children with Down syndrome (DS) and to estimate the probability that motor functions are achieved by different ages. DESIGN:Nonlinear growth curve analysis by using a 2-parameter (rate, upper limit) model. SETTING:Early intervention programs, schools, and ch...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1053/apmr.2001.21956
更新日期：2001-04-01 00:00:00
abstract：:Eighty-one patients with symptomatic osteoarthritis of the thumb took part in a blinded, controlled study to assess the effectiveness of 0.9 mw continuous wave HeNe laser treatment. The subjects were randomly placed in either a control group or a treatment group. In each group the carpometacarpal (CMC), metacarpophala...
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：1987-11-01 00:00:00
abstract：:Postdischarge progress in 11 types of patients was analyzed with regard to eating, dressing, transfers, bladder management, ambulation, cognition, language comprehension and speech, placement (living arrangement), and mortality rates. Of 273 patients admitted, 263 were available for foillow-up, which disclosed that pa...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1980-08-01 00:00:00
abstract：OBJECTIVE:To examine the use of an innovative approach for assessing everyday life activities of people with multiple sclerosis (MS): Actual Reality. Actual Reality is a performance-based assessment approach that involves the use of the internet to perform real, everyday life activities. DESIGN:A between-subjects desi...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.09.022
更新日期：2010-02-01 00:00:00
abstract：:The influence of the posterior vertebral ligamentous and bony elements on the sagittal range of motion of the lumbar spine has been investigated by observing the effects of sectioning ligaments and pedicles in 17 cadavers of both sexes with an age range from 14 to 78 years. The main investigation showed that the apoph...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
abstract：:The authors' philosophy and regimen of treatment, based on experience with 103 pressure ulcers in 75 patients, are presented. This experience illustrates that the problem of pressure ulcers can be managed well by the application of sound surgical principles in a community hospital with a rehabilitation unit. With some...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1978-04-01 00:00:00
abstract：OBJECTIVE:To compare the effects of night-only to full-time splint wear instructions on symptoms, function, and impairment in carpal tunnel syndrome (CTS). DESIGN:Randomized clinical trial with 6-week follow-up. SETTING:Veterans Administration Medical Center, outpatient clinic. SUBJECTS:Outpatients with untreated CT...
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：10.1053/mr.2000.3856
更新日期：2000-04-01 00:00:00
abstract：OBJECTIVE:To assess the relationship between poststroke shoulder pain, upper-limb motor impairment, activity limitation, and pain-related quality of life (QOL). DESIGN:Cross-sectional, secondary analysis of baseline data from a multisite clinical trial. SETTING:Outpatient rehabilitation clinics of 7 academic medical ...
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
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To investigate interlimb coupling in an adult population with left hemiplegia and an age-matched control group to better understand the unique motor control issues in stroke rehabilitation. DESIGN:A chi-square analysis was performed to compare the distribution of participants adopting a given movement patter...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2003.08.084
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVE:To examine the effects of acute fatigue of the hip abductors on the control of balance in young and older women. DESIGN:Pretest-posttest. SETTING:University research laboratory. PARTICIPANTS:Healthy young women (n=20; age, 23.0+/-1.5y; height, 166.52+/-4.5 cm; mass, 65.33+/-10.5 kg) and community-dwelling ...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2009.01.025
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To describe the course of fatigue during the first year poststroke and to determine the relation between fatigue at 1 year poststroke and personal characteristics, stroke characteristics, and poststroke impairments. DESIGN:Inception cohort. SETTING:Rehabilitation center. PARTICIPANTS:Patients (N=167) with...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2005.10.005
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:To develop and validate a subjective measure of cognitive fatigue-the State-Trait Inventory of Cognitive Fatigue-in community-dwelling older adults. DESIGN:Scale development and test construction. SETTING:Community-dwelling older adults enrolled in a longitudinal cohort aging study. PARTICIPANTS:Participan...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/j.apmr.2016.07.024
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVES:To evaluate risk factors for respiratory morbidity in chronic spinal cord injury (SCI). SETTING:Model SCI care system based at an urban public rehabilitation medical center. DESIGN:Case series with evaluation of pulmonary function by conventional spirometric testing. PARTICIPANTS:Two hundred twenty-two ad...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(00)90107-2
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVE:To identify unique predictors of the ability to return to living alone in geriatric patients undergoing medical rehabilitation. DESIGN:Of 900 consecutive geriatric patients entering medical rehabilitation, 372 were identified as living alone before admission. Data were collected on functional status, cogniti...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：10.1016/s0003-9993(97)90085-x
更新日期：1997-07-01 00:00:00
abstract：:Two previously healthy adult patients with recent trauma to the cervical spinal cord and daily febrile episodes were evaluated extensively. No infectious or other cause for their fevers could be identified other than cervical spinal cord injury (SCI). Treatment with broad spectrum antibiotics, anticoagulation, and ces...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1982-12-01 00:00:00
abstract：:The blink reflex may be elicited in the orbicularis oculi following electrical stimulus to the periorbital regions. It consists of a direct early component (R1) and a late component (R2) which is both direct and consensual. The amplitudes of R1 and R2 are reduced and the latencies normal in patients with lesions affec...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1980-01-01 00:00:00
abstract：:Anterior tarsal tunnel syndrome is a rarely reported entrapment neuropathy of the deep peroneal nerve under the extensor retinaculum at the ankle. The roof of the tunnel is the inferior extensor retinaculum. The floor is the fascia overlying the talus and navicular. Within the tunnel are four tendons, an artery, a vei...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
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：OBJECTIVE:To compare isometric torque and cycling power, smoothness and symmetry using repetitive functional magnetic stimulation (FMS) and functional electrical stimulation (FES) in patients with paretic legs with preserved sensibility and in patients without sensibility. DESIGN:Repeated-measures design. SETTING:Lab...
journal_title：Archives of physical medicine and rehabilitation
pub_type： 临床试验,杂志文章
doi：10.1016/j.apmr.2008.09.572
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To determine immunogenicity and optimum timing for administering the 23-valent pneumococcal vaccine after spinal cord injury (SCI). DESIGN:Double-blind, randomized, placebo control study. SETTING:SCI unit in a tertiary care medical center and community. PARTICIPANTS:Eighty-seven persons with recent SCI. I...
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：10.1016/s0003-9993(98)90410-5
更新日期：1998-12-01 00:00:00
