trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke / Robert L. Askew in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 9 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1515-1522 Titre : Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke Type de document : Périodique Auteurs : Robert L. Askew ; Carmen E. Capo-Lugo ; Andrew Naidech ; Shyam K. Prabhakaran Année de publication : 2020 Article en page(s) : p. 1515-1522 Note générale : https://doi.org/10.1016/j.apmr.2020.05.005 Langues : Anglais (eng) Descripteurs : HE Vinci Abdomen aigu ; Accident vasculaire cérébral (AVC) ; Évaluation des résultats et des processus en soins de santé ; Mesures des résultats rapportés par les patients (PROM) ; Qualité des soins de santé ; Réadaptation ; Rééducation neurologique ; Services de santé Résumé : Objective To assess the effect of time to acute therapy on health-related quality of life (HRQoL) and disability after ischemic stroke. Design Prospective cohort study. Setting Comprehensive stroke care center in a large metropolitan city. Participants Patients (N=553; mean age, 67 y; 51.9% male; 64.4% white; 88.8% ischemic stroke) with ischemic stroke or transient ischemic attack (TIA) enrolled in a longitudinal observational study between August 2012 to January 2014 who received rehabilitation services. Intervention Not applicable. Main Outcome Measures Disability status was assessed with the modified Rankin Scale (mRS) and Barthel Index (BI). HRQoL was assessed using the Quality of Life in Neurological Disorders measures of executive function, general cognitive concerns, upper extremity dexterity, and lower extremity mobility. Time to therapy consult and treatment were defined as the number of days from hospital admission to initial consult by a therapist and number of days from hospital admission to initial treatment, respectively. Results Among the participants, the median number of days from hospital admission to acute therapy consult was 2 days (interquartile range, 1-3d). Multivariable linear and logistic regression models indicated that for those with the National Institutes of Health Stroke Scale (NIHSS) score Conclusions Longer time to initiation of acute therapy has differential effects on poststroke disability and HRQoL up to 1-month after ischemic stroke and TIA. The effect of acute therapy consult is more notable for those with mild deficits, while the effect of acute therapy treatment is more notable for those with moderate to severe deficits. Minimizing time to therapy consults and treatments in the acute hospital period might improve outcomes after ischemic stroke and TIA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259805 [article] Differential Effects of Time to Initiation of Therapy on Disability and Quality of Life in Patients With Mild and Moderate to Severe Ischemic Stroke [Périodique] / Robert L. Askew ; Carmen E. Capo-Lugo ; Andrew Naidech ; Shyam K. Prabhakaran . - 2020 . - p. 1515-1522. https://doi.org/10.1016/j.apmr.2020.05.005 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 9 (2020) . - p. 1515-1522 Descripteurs : HE Vinci Abdomen aigu ; Accident vasculaire cérébral (AVC) ; Évaluation des résultats et des processus en soins de santé ; Mesures des résultats rapportés par les patients (PROM) ; Qualité des soins de santé ; Réadaptation ; Rééducation neurologique ; Services de santé Résumé : Objective To assess the effect of time to acute therapy on health-related quality of life (HRQoL) and disability after ischemic stroke. Design Prospective cohort study. Setting Comprehensive stroke care center in a large metropolitan city. Participants Patients (N=553; mean age, 67 y; 51.9% male; 64.4% white; 88.8% ischemic stroke) with ischemic stroke or transient ischemic attack (TIA) enrolled in a longitudinal observational study between August 2012 to January 2014 who received rehabilitation services. Intervention Not applicable. Main Outcome Measures Disability status was assessed with the modified Rankin Scale (mRS) and Barthel Index (BI). HRQoL was assessed using the Quality of Life in Neurological Disorders measures of executive function, general cognitive concerns, upper extremity dexterity, and lower extremity mobility. Time to therapy consult and treatment were defined as the number of days from hospital admission to initial consult by a therapist and number of days from hospital admission to initial treatment, respectively. Results Among the participants, the median number of days from hospital admission to acute therapy consult was 2 days (interquartile range, 1-3d). Multivariable linear and logistic regression models indicated that for those with the National Institutes of Health Stroke Scale (NIHSS) score Conclusions Longer time to initiation of acute therapy has differential effects on poststroke disability and HRQoL up to 1-month after ischemic stroke and TIA. The effect of acute therapy consult is more notable for those with mild deficits, while the effect of acute therapy treatment is more notable for those with moderate to severe deficits. Minimizing time to therapy consults and treatments in the acute hospital period might improve outcomes after ischemic stroke and TIA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259805

Longer Time Before Acute Rehabilitation Therapy Worsens Disability After Intracerebral Hemorrhage / Carmen E. Capo-Lugo in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 5 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 5 (2020) . - p. 870-876 Titre : Longer Time Before Acute Rehabilitation Therapy Worsens Disability After Intracerebral Hemorrhage Type de document : Article Auteurs : Carmen E. Capo-Lugo ; Robert L. Askew ; Kathryn Muldoon Année de publication : 2020 Article en page(s) : p. 870-876 Note générale : https://doi.org/10.1016/j.apmr.2019.11.006 Langues : Anglais (eng) Descripteurs : HE Vinci Hemorragie cerebrale ; Réadaptation ; Recherche sur les services de santé Résumé : Objective Assess the association of time to initiation of acute rehabilitation therapy with disability after intracerebral hemorrhage (ICH) and identify predictors of time to initiation of rehabilitation therapy. Design Retrospective data analysis of prospectively collected data from an ongoing observational cohort study. Setting Large comprehensive stroke center in a metropolitan area. Participants Adults with ICH consecutively admitted (n=203). Interventions Not applicable. Main Outcome Measures Disability was assessed with the modified Rankin Scale (mRS), with poor outcome defined as mRS 4-6 (dependence or worse). Time to initiation of acute rehabilitation therapy was defined as the number of days between hospital admission and the first consult by any rehabilitation therapy specialist (eg, physical therapy, occupational therapy, speech therapy). Results The median number of days from hospital admission to initiation of acute rehabilitation therapy was 3 (range=2-7). Multivariable logistic regression models indicated that each additional day between admission and initiation of acute rehabilitation therapy was associated with increased odds of poor outcome at 30 days (adjusted odds ratio [OR]=1.151; 95% confidence interval [CI]=1.044-1.268; P=.005) and at 90 days (adjusted OR=1.107; 95% CI=1.003-1.222; P=.044) for patients with ICH. A multivariable linear regression model used to identify the predictors of time to initiation of rehabilitation therapy identified heavy drinking (>5 drinks per day), premorbid mRS Conclusions Longer time to initiation of acute rehabilitation therapy after ICH may have persistent effects on poststroke disability. Delays in acute rehabilitation therapy consults should be minimized and may improve outcomes after ICH. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=255037 [article] Longer Time Before Acute Rehabilitation Therapy Worsens Disability After Intracerebral Hemorrhage [Article] / Carmen E. Capo-Lugo ; Robert L. Askew ; Kathryn Muldoon . - 2020 . - p. 870-876. https://doi.org/10.1016/j.apmr.2019.11.006 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 5 (2020) . - p. 870-876 Descripteurs : HE Vinci Hemorragie cerebrale ; Réadaptation ; Recherche sur les services de santé Résumé : Objective Assess the association of time to initiation of acute rehabilitation therapy with disability after intracerebral hemorrhage (ICH) and identify predictors of time to initiation of rehabilitation therapy. Design Retrospective data analysis of prospectively collected data from an ongoing observational cohort study. Setting Large comprehensive stroke center in a metropolitan area. Participants Adults with ICH consecutively admitted (n=203). Interventions Not applicable. Main Outcome Measures Disability was assessed with the modified Rankin Scale (mRS), with poor outcome defined as mRS 4-6 (dependence or worse). Time to initiation of acute rehabilitation therapy was defined as the number of days between hospital admission and the first consult by any rehabilitation therapy specialist (eg, physical therapy, occupational therapy, speech therapy). Results The median number of days from hospital admission to initiation of acute rehabilitation therapy was 3 (range=2-7). Multivariable logistic regression models indicated that each additional day between admission and initiation of acute rehabilitation therapy was associated with increased odds of poor outcome at 30 days (adjusted odds ratio [OR]=1.151; 95% confidence interval [CI]=1.044-1.268; P=.005) and at 90 days (adjusted OR=1.107; 95% CI=1.003-1.222; P=.044) for patients with ICH. A multivariable linear regression model used to identify the predictors of time to initiation of rehabilitation therapy identified heavy drinking (>5 drinks per day), premorbid mRS Conclusions Longer time to initiation of acute rehabilitation therapy after ICH may have persistent effects on poststroke disability. Delays in acute rehabilitation therapy consults should be minimized and may improve outcomes after ICH. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=255037

Measuring Mobility in Low Functioning Hospital Patients: An AM-PAC Replenishment Project / Daniel L. Young in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 7 (2020)  

Public ISBD [article]  inArchives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1144-1151 Titre : Measuring Mobility in Low Functioning Hospital Patients: An AM-PAC Replenishment Project Type de document : Article Auteurs : Daniel L. Young ; Sowmya Kumble ; Carmen E. Capo-Lugo Année de publication : 2020 Article en page(s) : p. 1144-1151 Note générale : https://doi.org/10.1016/j.apmr.2020.01.020 Langues : Anglais (eng) Descripteurs : HE Vinci Performance fonctionnelle physique ; Prestations des soins de santé ; Recherche sur les services de santé Résumé : Objective To expand an existing validated measure of basic mobility (Activity Measure for Post-Acute Care [AM-PAC]) for patients at the lowest levels of function. Design Item replenishment for existing item response theory (IRT) derived measure via (1) idea generation and creation of potential new items, (2) item calibration and field testing, and (3) longitudinal pilot test. Setting Two tertiary acute care hospitals. Participants Consecutive inpatients (N=502) ≥18 years old, with an AM-PAC Inpatient Mobility Short Form (IMSF) raw score ≤15. For the longitudinal pilot test, 8 inpatients were evaluated. Results Fifteen new AM-PAC items were developed, 2 of which improved mobility measurement at the lower levels of functioning. Specifically, with the 2 new items, the floor effect of the AM-PAC IMSF was reduced by 19%, statistical power and measurement breadth were greater, and there was greater measurement sensitivity in longitudinal pilot testing. Conclusion Adding 2 new items to the AM-PAC IMSF lowered the floor and increased statistical power, measurement breadth, and sensitivity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256439 [article] Measuring Mobility in Low Functioning Hospital Patients: An AM-PAC Replenishment Project [Article] / Daniel L. Young ; Sowmya Kumble ; Carmen E. Capo-Lugo . - 2020 . - p. 1144-1151. https://doi.org/10.1016/j.apmr.2020.01.020 Langues : Anglais (eng) in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 7 (2020) . - p. 1144-1151 Descripteurs : HE Vinci Performance fonctionnelle physique ; Prestations des soins de santé ; Recherche sur les services de santé Résumé : Objective To expand an existing validated measure of basic mobility (Activity Measure for Post-Acute Care [AM-PAC]) for patients at the lowest levels of function. Design Item replenishment for existing item response theory (IRT) derived measure via (1) idea generation and creation of potential new items, (2) item calibration and field testing, and (3) longitudinal pilot test. Setting Two tertiary acute care hospitals. Participants Consecutive inpatients (N=502) ≥18 years old, with an AM-PAC Inpatient Mobility Short Form (IMSF) raw score ≤15. For the longitudinal pilot test, 8 inpatients were evaluated. Results Fifteen new AM-PAC items were developed, 2 of which improved mobility measurement at the lower levels of functioning. Specifically, with the 2 new items, the floor effect of the AM-PAC IMSF was reduced by 19%, statistical power and measurement breadth were greater, and there was greater measurement sensitivity in longitudinal pilot testing. Conclusion Adding 2 new items to the AM-PAC IMSF lowered the floor and increased statistical power, measurement breadth, and sensitivity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256439