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Acute Rehospitalizations During Inpatient Rehabilitation for Spinal Cord Injury / Flora Hammond in Archives of Physical Medicine and Rehabilitation, 2013/4 suppl. 2 (2013)
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[article]
Titre : Acute Rehospitalizations During Inpatient Rehabilitation for Spinal Cord Injury Type de document : Article Auteurs : Flora Hammond ; Susan D. Horn ; Randall J Smout ; [et al.] Article en page(s) : pp. 98-105 Langues : Anglais (eng) Descripteurs : HE Vinci
Comorbidité ; Réadmission du patient ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Comorbidity Patient readmission Spinal cord injuries Résumé : "Objectives
To investigate frequency of and reasons for readmission to acute care (RTAC) during inpatient rehabilitation after traumatic spinal cord injury (SCI), and to identify factors associated with RTAC.
Design
Prospective observational cohort.
Setting
Inpatient rehabilitation.
Participants
Individuals with SCI (N=1376) consecutively admitted for inpatient rehabilitation; 1032 randomly selected for model development; 344 selected for model cross-validation.
Interventions
Not applicable.
Main Outcome Measures
RTAC, RTAC reasons, rehabilitation length of stay (LOS), discharge location and FIM, rehospitalization between discharge and year 1, and 1-year outcomes: FIM, Craig Handicap Assessment and Reporting Technique, and Patient Health Questionnaire-9.
Results
Participants (n=116; 11%) experienced RTAC with a total 143 episodes96 patients experienced only 1 RTAC, while 14 had 2 RTACs, 5 had 3 RTACs, and 1 had 4 RTACs. The most common RTAC reasons were surgery (36%), infection (22%), noninfectious respiratory (14%), and gastrointestinal (8%). Mean days + SD from rehabilitation admission to first RTAC was 27+30 days. Seventy-four (7%) patients had at least 1 RTAC for medical reasons and 46 (4%) for surgical reasons. Regression analyses indicated several variables were associated with RTACs: greater admission medical severity, lower admission cognitive FIM, pressure ulcer acquired in acute care, and study site. Medical RTACs were associated with higher body mass index, lower admission cognitive and motor FIM, payer, and study site. Predictors of surgical RTAC were longer time from injury to rehabilitation admission and study site. After controlling for the other variables, the only outcome RTAC influenced was longer rehabilitation LOS.
Conclusions
Approximately 11% of SCI patients experience RTAC during the course of rehabilitation for a variety of medical and surgical reasons. RTACs are associated with longer rehabilitation LOS."Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117436
in Archives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 98-105[article] Acute Rehospitalizations During Inpatient Rehabilitation for Spinal Cord Injury [Article] / Flora Hammond ; Susan D. Horn ; Randall J Smout ; [et al.] . - pp. 98-105.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2013/4 suppl. 2 (2013) . - pp. 98-105
Descripteurs : HE Vinci
Comorbidité ; Réadmission du patient ; Rééducation et réadaptation ; Traumatismes de la moelle épinièreMots-clés : Comorbidity Patient readmission Spinal cord injuries Résumé : "Objectives
To investigate frequency of and reasons for readmission to acute care (RTAC) during inpatient rehabilitation after traumatic spinal cord injury (SCI), and to identify factors associated with RTAC.
Design
Prospective observational cohort.
Setting
Inpatient rehabilitation.
Participants
Individuals with SCI (N=1376) consecutively admitted for inpatient rehabilitation; 1032 randomly selected for model development; 344 selected for model cross-validation.
Interventions
Not applicable.
Main Outcome Measures
RTAC, RTAC reasons, rehabilitation length of stay (LOS), discharge location and FIM, rehospitalization between discharge and year 1, and 1-year outcomes: FIM, Craig Handicap Assessment and Reporting Technique, and Patient Health Questionnaire-9.
Results
Participants (n=116; 11%) experienced RTAC with a total 143 episodes96 patients experienced only 1 RTAC, while 14 had 2 RTACs, 5 had 3 RTACs, and 1 had 4 RTACs. The most common RTAC reasons were surgery (36%), infection (22%), noninfectious respiratory (14%), and gastrointestinal (8%). Mean days + SD from rehabilitation admission to first RTAC was 27+30 days. Seventy-four (7%) patients had at least 1 RTAC for medical reasons and 46 (4%) for surgical reasons. Regression analyses indicated several variables were associated with RTACs: greater admission medical severity, lower admission cognitive FIM, pressure ulcer acquired in acute care, and study site. Medical RTACs were associated with higher body mass index, lower admission cognitive and motor FIM, payer, and study site. Predictors of surgical RTAC were longer time from injury to rehabilitation admission and study site. After controlling for the other variables, the only outcome RTAC influenced was longer rehabilitation LOS.
Conclusions
Approximately 11% of SCI patients experience RTAC during the course of rehabilitation for a variety of medical and surgical reasons. RTACs are associated with longer rehabilitation LOS."Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117436 Associations of Hospital Discharge Services With Potentially Avoidable Readmissions Within 30 Days Among Older Adults After Rehabilitation in Acute Care Hospitals in Tokyo, Japan / Seigo Mitsutake in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 5 (2020)
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[article]
Titre : Associations of Hospital Discharge Services With Potentially Avoidable Readmissions Within 30 Days Among Older Adults After Rehabilitation in Acute Care Hospitals in Tokyo, Japan Type de document : Article Auteurs : Seigo Mitsutake ; Tatsuro Ishizaki ; Rumiko Tsuchiya-Ito Année de publication : 2020 Article en page(s) : p. 832-840 Note générale : https://doi.org/10.1016/j.apmr.2019.11.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Mégadonnées ; Réadaptation ; Réadmission du patient ; Services de santé pour personnes âgéesRésumé : Objective
To examine the associations of 3 major hospital discharge services covered under health insurance (discharge planning, rehabilitation discharge instruction, and coordination with community care) with potentially avoidable readmissions (PARs) within 30 days in older adults after rehabilitation in acute care hospitals in Tokyo, Japan.
Design
Retrospective cohort study using a large-scale medical claims database of all Tokyo residents aged ≥75 years.
Setting
Acute care hospitals.
Participants
Patients who underwent rehabilitation and were discharged to home (N=31,247; mean age in years ± SD, 84.1±5.7) between October 2013 and July 2014.
Interventions
None.
Main Outcome Measure
30-day PAR.
Results
Among the patients, 883 (2.9%) experienced 30-day PAR. A multivariable logistic generalized estimating equation model (with a logit link function and binominal sampling distribution) that adjusted for patient characteristics and clustering within hospitals showed that the discharge services were not significantly associated with 30-day PAR. The odds ratios were 0.962 (95% confidence interval [CI], 0.805-1.151) for discharge planning, 1.060 (95% CI, 0.916-1.227) for rehabilitation discharge instruction, and 1.118 (95% CI, 0.817-1.529) for coordination with community care. In contrast, the odds of 30-day PAR among patients with home medical care services were 1.431 times higher than those of patients without these services (P<.001 and the odds of par among patients with a higher number or rehabilitation units were times than those lower median also hospital frailty risk score>
Conclusions
The insurance-covered discharge services were not associated with 30-day PAR, and the development of comprehensive transitional care programs through the integration of existing discharge services may help to reduce such readmissions.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=255029
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 5 (2020) . - p. 832-840[article] Associations of Hospital Discharge Services With Potentially Avoidable Readmissions Within 30 Days Among Older Adults After Rehabilitation in Acute Care Hospitals in Tokyo, Japan [Article] / Seigo Mitsutake ; Tatsuro Ishizaki ; Rumiko Tsuchiya-Ito . - 2020 . - p. 832-840.
https://doi.org/10.1016/j.apmr.2019.11.019
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 5 (2020) . - p. 832-840
Descripteurs : HE Vinci
Mégadonnées ; Réadaptation ; Réadmission du patient ; Services de santé pour personnes âgéesRésumé : Objective
To examine the associations of 3 major hospital discharge services covered under health insurance (discharge planning, rehabilitation discharge instruction, and coordination with community care) with potentially avoidable readmissions (PARs) within 30 days in older adults after rehabilitation in acute care hospitals in Tokyo, Japan.
Design
Retrospective cohort study using a large-scale medical claims database of all Tokyo residents aged ≥75 years.
Setting
Acute care hospitals.
Participants
Patients who underwent rehabilitation and were discharged to home (N=31,247; mean age in years ± SD, 84.1±5.7) between October 2013 and July 2014.
Interventions
None.
Main Outcome Measure
30-day PAR.
Results
Among the patients, 883 (2.9%) experienced 30-day PAR. A multivariable logistic generalized estimating equation model (with a logit link function and binominal sampling distribution) that adjusted for patient characteristics and clustering within hospitals showed that the discharge services were not significantly associated with 30-day PAR. The odds ratios were 0.962 (95% confidence interval [CI], 0.805-1.151) for discharge planning, 1.060 (95% CI, 0.916-1.227) for rehabilitation discharge instruction, and 1.118 (95% CI, 0.817-1.529) for coordination with community care. In contrast, the odds of 30-day PAR among patients with home medical care services were 1.431 times higher than those of patients without these services (P<.001 and the odds of par among patients with a higher number or rehabilitation units were times than those lower median also hospital frailty risk score>
Conclusions
The insurance-covered discharge services were not associated with 30-day PAR, and the development of comprehensive transitional care programs through the integration of existing discharge services may help to reduce such readmissions.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=255029 Cardiac Rehabilitation for Patients Treated for Atrial Fibrillation With Ablation Has Long-Term Effects: 12-and 24-Month Follow-up Results From the Randomized CopenHeartRFA Trial / Signe Stelling Risom in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 11 (2020)
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[article]
Titre : Cardiac Rehabilitation for Patients Treated for Atrial Fibrillation With Ablation Has Long-Term Effects: 12-and 24-Month Follow-up Results From the Randomized CopenHeartRFA Trial Type de document : Article Auteurs : Signe Stelling Risom ; Ann-Dorthe Zwisler ; Kirstine Lærum Sibilitz ; Trine Bernholdt Rasmussen ; Rod Stephen Taylor ; Lau Caspar Thygesen ; Trine Stougaard Madsen ; Jesper Hastrup Svendsen ; Selina Kikkenborg Berg Année de publication : 2020 Article en page(s) : p. 1877-1886 Note générale : https://doi.org/10.1016/j.apmr.2020.06.026 Langues : Anglais (eng) Descripteurs : HE Vinci
Fibrillation auriculaire ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vie ; Réadaptation ; Réadaptation cardiaque ; Réadmission du patientRésumé : Objective
To assess outcomes at 12 and 24 months after participation in a multidisciplinary cardiac rehabilitation program plus usual care compared with usual care alone for patients treated for atrial fibrillation with catheter ablation.
Design
Long-term follow-up on the randomized CopenHeartRFA trial.
Setting
Patients were enrolled and outcome assessed at the hospital and the intervention were carried out at the hospital or at local rehabilitation centers.
Participants
Patients (N=210) treated for atrial fibrillation with catheter ablation included in the CopenHeartRFA trial.
Interventions
A 6-month cardiac rehabilitation program consisting of physical exercise and psychoeducational consultations plus usual care or usual care alone.
Main Outcome Measures
Physical capacity was measured by peak oxygen uptake (Vo2peak) at 12 months, and patient-reported outcomes on perceived health, anxiety, and depression were collected by validated questionnaires at 12 and 24 months. Information on hospital admissions and mortality was collected through national registers up to 24 months.
Results
Mean Vo2peak was higher at 12 months in the cardiac rehabilitation group (cardiac rehabilitation group: 25.82 mL/kg/min vs usual care group, 22.43 mL/kg/min, P=.003). A lower proportion of patients had high levels of anxiety at 24 months in the cardiac rehabilitation group compared to usual care (12% vs 24%, P=.004). There was no difference in mortality or hospital admissions at 24 months between groups.
Conclusions
This long-term follow-up of a comprehensive multidisciplinary cardiac rehabilitation program for patients treated for atrial fibrillation with catheter ablation found sustained improvements with respect to physical capacity and anxiety compared to usual care but no difference on mortality or hospital admission.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=261145
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 11 (2020) . - p. 1877-1886[article] Cardiac Rehabilitation for Patients Treated for Atrial Fibrillation With Ablation Has Long-Term Effects: 12-and 24-Month Follow-up Results From the Randomized CopenHeartRFA Trial [Article] / Signe Stelling Risom ; Ann-Dorthe Zwisler ; Kirstine Lærum Sibilitz ; Trine Bernholdt Rasmussen ; Rod Stephen Taylor ; Lau Caspar Thygesen ; Trine Stougaard Madsen ; Jesper Hastrup Svendsen ; Selina Kikkenborg Berg . - 2020 . - p. 1877-1886.
https://doi.org/10.1016/j.apmr.2020.06.026
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 101, n° 11 (2020) . - p. 1877-1886
Descripteurs : HE Vinci
Fibrillation auriculaire ; Mesures des résultats rapportés par les patients (PROM) ; Qualité de vie ; Réadaptation ; Réadaptation cardiaque ; Réadmission du patientRésumé : Objective
To assess outcomes at 12 and 24 months after participation in a multidisciplinary cardiac rehabilitation program plus usual care compared with usual care alone for patients treated for atrial fibrillation with catheter ablation.
Design
Long-term follow-up on the randomized CopenHeartRFA trial.
Setting
Patients were enrolled and outcome assessed at the hospital and the intervention were carried out at the hospital or at local rehabilitation centers.
Participants
Patients (N=210) treated for atrial fibrillation with catheter ablation included in the CopenHeartRFA trial.
Interventions
A 6-month cardiac rehabilitation program consisting of physical exercise and psychoeducational consultations plus usual care or usual care alone.
Main Outcome Measures
Physical capacity was measured by peak oxygen uptake (Vo2peak) at 12 months, and patient-reported outcomes on perceived health, anxiety, and depression were collected by validated questionnaires at 12 and 24 months. Information on hospital admissions and mortality was collected through national registers up to 24 months.
Results
Mean Vo2peak was higher at 12 months in the cardiac rehabilitation group (cardiac rehabilitation group: 25.82 mL/kg/min vs usual care group, 22.43 mL/kg/min, P=.003). A lower proportion of patients had high levels of anxiety at 24 months in the cardiac rehabilitation group compared to usual care (12% vs 24%, P=.004). There was no difference in mortality or hospital admissions at 24 months between groups.
Conclusions
This long-term follow-up of a comprehensive multidisciplinary cardiac rehabilitation program for patients treated for atrial fibrillation with catheter ablation found sustained improvements with respect to physical capacity and anxiety compared to usual care but no difference on mortality or hospital admission.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=261145 Community Use of Physical and Occupational Therapy After Stroke and Risk of Hospital Readmission / Janet K. Freburger in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 1 (2018)
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[article]
Titre : Community Use of Physical and Occupational Therapy After Stroke and Risk of Hospital Readmission Type de document : Article Auteurs : Janet K. Freburger ; Dongmei Li ; Erin P. Fraher Article en page(s) : p. 26-34 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Réadmission du patient ; Rééducation et réadaptationMots-clés : Occupational therapists Ergothérapeutes Patient readmission Physical therapists Kinésithérapeutes Stroke Résumé : Objectives
To determine whether receipt of therapy and number and timing of therapy visits decreased hospital readmission risk in stroke survivors discharged home.
Design
Retrospective cohort analysis of Medicare claims (20102013).
Setting
Acute care hospital and community.
Participants
Patients hospitalized for stroke who were discharged home and survived the first 30 days (N=23,413; mean age + SD, 77.6+7.5y).
Interventions
Physical and occupational therapist use in the home and/or outpatient setting in the first 30 days after discharge (any use, number of visits, and days to first visit).
Main Outcome Measures
Hospital readmission 30 to 60 days after discharge. Covariates included demographic characteristics, proxy variables for functional status, hospitalization characteristics, comorbidities, and prior health care use. Multivariate logistic regression analyses were conducted to examine the relation between therapist use and readmission.
Results
During the first 30 days after discharge, 31% of patients saw a therapist in the home, 11% saw a therapist in an outpatient setting, and 59% did not see a therapist. Relative to patients who had no therapist contact, those who saw an outpatient therapist were less likely to be readmitted to the hospital (odds ratio, 0.73; 95% confidence interval, 0.590.90). Although the point estimates did not reach statistical significance, there was some suggestion that the greater the number of therapist visits in the home and the sooner the visits started, the lower the risk of hospital readmission.
Conclusions
After controlling for observable demographic-, clinical-, and health-related differences, we found that individuals who received outpatient therapy in the first 30 days after discharge home after stroke were less likely to be readmitted to the hospital in the subsequent 30 days, relative to those who received no therapy.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=118588
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 1 (2018) . - p. 26-34[article] Community Use of Physical and Occupational Therapy After Stroke and Risk of Hospital Readmission [Article] / Janet K. Freburger ; Dongmei Li ; Erin P. Fraher . - p. 26-34.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 1 (2018) . - p. 26-34
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Réadmission du patient ; Rééducation et réadaptationMots-clés : Occupational therapists Ergothérapeutes Patient readmission Physical therapists Kinésithérapeutes Stroke Résumé : Objectives
To determine whether receipt of therapy and number and timing of therapy visits decreased hospital readmission risk in stroke survivors discharged home.
Design
Retrospective cohort analysis of Medicare claims (20102013).
Setting
Acute care hospital and community.
Participants
Patients hospitalized for stroke who were discharged home and survived the first 30 days (N=23,413; mean age + SD, 77.6+7.5y).
Interventions
Physical and occupational therapist use in the home and/or outpatient setting in the first 30 days after discharge (any use, number of visits, and days to first visit).
Main Outcome Measures
Hospital readmission 30 to 60 days after discharge. Covariates included demographic characteristics, proxy variables for functional status, hospitalization characteristics, comorbidities, and prior health care use. Multivariate logistic regression analyses were conducted to examine the relation between therapist use and readmission.
Results
During the first 30 days after discharge, 31% of patients saw a therapist in the home, 11% saw a therapist in an outpatient setting, and 59% did not see a therapist. Relative to patients who had no therapist contact, those who saw an outpatient therapist were less likely to be readmitted to the hospital (odds ratio, 0.73; 95% confidence interval, 0.590.90). Although the point estimates did not reach statistical significance, there was some suggestion that the greater the number of therapist visits in the home and the sooner the visits started, the lower the risk of hospital readmission.
Conclusions
After controlling for observable demographic-, clinical-, and health-related differences, we found that individuals who received outpatient therapy in the first 30 days after discharge home after stroke were less likely to be readmitted to the hospital in the subsequent 30 days, relative to those who received no therapy.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=118588 Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study / Leda Tomiko Yamada da Silveira in Physiotherapy, Vol. 105, n° 3 (2019)
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[article]
Titre : Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study Type de document : Article Auteurs : Leda Tomiko Yamada da Silveira ; Janete Maria da Silva ; Clarice Tanaka Année de publication : 2019 Article en page(s) : p. 321-327 Note générale : https://doi.org/10.1016/j.physio.2018.07.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Réadaptation ; Réadmission du patient ; Soins de réanimation ; Techniques de physiothérapieRésumé : Objectives
To compare the functional status at intensive care unit (ICU) discharge of patients who were later readmitted to the ICU and patients discharged home and to verify whether a decline in functional status is associated with ICU readmission.
Design
Prospective cohort study.
Setting
ICU at a tertiary teaching hospital.
Participants
Patients admitted to the ICU, ≥18 years old, submitted to invasive mechanical ventilation (IMV), and discharged to the ward.
Interventions
Functional assessment at ICU discharge. Discharge Group (DG) (patients discharged home) and Readmission Group (RG) (patients who returned to the ICU) were compared with MannWhitney and Chi-square or Exact Fisher tests. Multiple logistic regression verified association.
Main outcome measures
Barthel Index, key pinch strength, clinical and demographic data.
Results
Patients in the readmission group presented lower Barthel Index [Median 40 (IQR 2075) vs 60 (3383), P = 0.033], greater relative variation (pre and post ICU) of the Barthel Index (P = 0.04), lower key pinch strength [3.4 (1.84.5) vs 4.5 (2.76.8) kg·f, P = 0.006] and higher APACHE II [18 (1222) vs 15 (1120), P = 0.027]. Multiple regression found that the relative variation of the Barthel Index was independently associated with ICU readmission (P Conclusion
Readmitted patients presented poorer functional status and lower pinch strength. Relative variation of the Barthel Index was associated with ICU readmission despite other factors, as was higher APACHE II, shorter IMV duration and admission without clear diagnosis.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=246759
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 321-327[article] Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study [Article] / Leda Tomiko Yamada da Silveira ; Janete Maria da Silva ; Clarice Tanaka . - 2019 . - p. 321-327.
https://doi.org/10.1016/j.physio.2018.07.010
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 321-327
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Réadaptation ; Réadmission du patient ; Soins de réanimation ; Techniques de physiothérapieRésumé : Objectives
To compare the functional status at intensive care unit (ICU) discharge of patients who were later readmitted to the ICU and patients discharged home and to verify whether a decline in functional status is associated with ICU readmission.
Design
Prospective cohort study.
Setting
ICU at a tertiary teaching hospital.
Participants
Patients admitted to the ICU, ≥18 years old, submitted to invasive mechanical ventilation (IMV), and discharged to the ward.
Interventions
Functional assessment at ICU discharge. Discharge Group (DG) (patients discharged home) and Readmission Group (RG) (patients who returned to the ICU) were compared with MannWhitney and Chi-square or Exact Fisher tests. Multiple logistic regression verified association.
Main outcome measures
Barthel Index, key pinch strength, clinical and demographic data.
Results
Patients in the readmission group presented lower Barthel Index [Median 40 (IQR 2075) vs 60 (3383), P = 0.033], greater relative variation (pre and post ICU) of the Barthel Index (P = 0.04), lower key pinch strength [3.4 (1.84.5) vs 4.5 (2.76.8) kg·f, P = 0.006] and higher APACHE II [18 (1222) vs 15 (1120), P = 0.027]. Multiple regression found that the relative variation of the Barthel Index was independently associated with ICU readmission (P Conclusion
Readmitted patients presented poorer functional status and lower pinch strength. Relative variation of the Barthel Index was associated with ICU readmission despite other factors, as was higher APACHE II, shorter IMV duration and admission without clear diagnosis.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=246759 Effects of Age and Sex on Hospital Readmission in Traumatic Brain Injury / Chih-Ying Li in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 7 (2018)
PermalinkEtat des lieux des réhospitalisations des nouveau-nés après la sortie de la maternité lors de leur 28 premiers jours de vie / Anne Cibiel-Marin in Les Dossiers de l'obstétrique, 485 (Novembre 2018)
PermalinkEvaluating Hospital Readmission Rates After Discharge From Inpatient Rehabilitation / Laura Coots Daras in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 6 (2018)
PermalinkFactors Predicting Rehospitalization of Elderly Patients in a Postacute Skilled Nursing Facility Rehabilitation Program / Wen Dombrowski in Archives of Physical Medicine and Rehabilitation, 2012/10 (2012)
PermalinkFunction and Caregiver Support Associated With Readmissions During Home Health for Individuals With Dementia / Sara Knox in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 6 (2020)
PermalinkFunctional Status Is Associated With 30-Day Potentially Preventable Hospital Readmissions After Inpatient Rehabilitation Among Aged Medicare Fee-for-Service Beneficiaries / Addie Middleton in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 6 (2018)
PermalinkFunctional Status Impairment Is Associated With Unplanned Readmissions / Erik Hoyer in Archives of Physical Medicine and Rehabilitation, 2013/10 (2013)
PermalinkGeographic Region and Profit Status Drive Variation in Hospital Readmission Outcomes Among Inpatient Rehabilitation Facilities in the United States / Laura Coots Daras in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 6 (2018)
PermalinkHospital-Based Health Care After Traumatic Brain Injury / David B. Salisbury in Archives of Physical Medicine and Rehabilitation, 2017/3 (2017)
PermalinkInpatient Walking Activity to Predict Readmission in Older Adults / Steve R. Fisher in Archives of Physical Medicine and Rehabilitation, 2016/9 suppl. (2016)
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