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Titre : | SCIRehab Uses Practice-Based Evidence Methodology to Associate Patient and Treatment Characteristics With Outcomes (2013) |
Auteurs : | G. Whiteneck ; Julie Gassaway |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/4 suppl. 2, 2013) |
Article en page(s) : | pp. 67-74 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Outcome assessment (health care) ; Spinal cord injuries |
Résumé : |
"Objectives To describe the application of practice-based evidence (PBE) methodology to spinal cord injury (SCI) rehabilitation in the SCIRehab study, and to summarize associations of patient characteristics and treatment interventions to outcomes. Design Prospective observational study. Setting Six SCI rehabilitation centers. Participants Patients with traumatic SCI (N=1376) admitted for first rehabilitation. Interventions Not applicable. Main Outcome Measures FIM and residence at discharge, and FIM, residence, Craig Handicap Assessment and Reporting Technique, work/school status, Patient Health Questionnaire-9, Diener Satisfaction with Life Scale, rehospitalization, and presence of pressure ulcers at 1 year postinjury. Results Patient demographic and injury characteristics explained significant variation in rehabilitation outcomes, particularly functional outcomes. Regression modeling also identified a large number of significant associations with outcomes when total time in each discipline was modeled and when models were developed for each discipline, examining time spent in the many specific interventions provided by each discipline. Conclusions The application of PBE methodology in the SCIRehab study provided extensive information about the process of inpatient SCI rehabilitation. While patient demographic and injury characteristics explain substantial variation in rehabilitation outcomes, particularly functional outcomes, significant relations also were found between the type and quantity of treatment interventions delivered by each rehabilitation discipline and a broad range of outcomes." |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |