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Source: Archives of Physical Medicine and Rehabilitation
Management: Hospitals
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Total 66 results found since Jan 2013.
A comparison of acute ischemic stroke patients discharged to inpatient rehabilitation versus a skilled nursing facility: the Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Source Type: research
A Comparison of Acute Ischemic Stroke Patients Discharged to Inpatient Rehabilitation vs a Skilled Nursing Facility: The Paul Coverdell National Acute Stroke Program
To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
Source: Archives of Physical Medicine and Rehabilitation - December 12, 2022 Category: Rehabilitation Authors: Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King, Paul Coverdell National Acute Stroke Program team Tags: ORIGINAL RESEARCH Source Type: research
Predictors of Subjective Cognitive Complaint in Postacute Older Adult Stroke Patients
Abstract: Objective: To investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Design: Cross-sectional study.Setting: Specialized stroke units at major metropolitan hospitals.Participants: Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurolog...
Source: Archives of Physical Medicine and Rehabilitation - March 25, 2013 Category: Rehabilitation Authors: Fiona Lamb, Jacqueline Anderson, Michael Saling, Helen Dewey Tags: Original Articles Source Type: research
Association Between the Volume of Inpatient Rehabilitation Therapy and the Risk of All-Cause and Cardiovascular Mortality in Patients With Ischemic Stroke
Abstract: Objective: To investigate the relationship between the volume of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke, as well as to assess whether the association varies with respect to stroke severity.Design: A retrospective study with a cohort of consecutive patients who had acute ischemic stroke between January 1, 2008, and June 30, 2009.Setting: Referral medical center.Participants: Adults with acute ischemic stroke (N=1277) who were admitted to a tertiary hospital.Interventions: Not applicable.Main Outcome Measure: Stroke-related mortality.Results: During the median foll...
Source: Archives of Physical Medicine and Rehabilitation - September 9, 2013 Category: Rehabilitation Authors: Gwo-Chi Hu, Chia-Yu Hsu, Hui-Kung Yu, Jiann-Perng Chen, Yu-Ju Chang, Kuo-Liong Chien Tags: Original Articles Source Type: research
Activity Limitations Experienced by People With Stroke Who Receive Inpatient Rehabilitation: Differences Between 2001, 2005, and 2011
Abstract: Objective: To determine whether there were differences in characteristics and activity limitations relevant to physiotherapists among people receiving inpatient rehabilitation after stroke in 2001, 2005, and 2011.Design: A multicenter observational study of 3 periods.Setting: Inpatient rehabilitation units (N=15).Participants: Adult stroke survivors (N=738) admitted over 3 periods (2001, 2005, 2011).Interventions: Not applicable.Main Outcome Measures: Characteristics, hospital metrics, and Motor Assessment Scale (MAS) scores were recorded on admission and discharge.Results: All 3 cohorts were similar in terms of...
Source: Archives of Physical Medicine and Rehabilitation - December 23, 2013 Category: Rehabilitation Authors: Suzanne S. Kuys, Paul G. Bew, Mary R. Lynch, Sandra G. Brauer Tags: Original Articles Source Type: research
Effects of Noxious Versus Innocuous Thermal Stimulation on Lower Extremity Motor Recovery 3 Months After Stroke
Abstract: Objective: To examine the effects of thermal stimulation (TS) on the lower extremity (LE) movement and function in patients with stroke.Design: A double-blinded randomized controlled trial.Setting: A university hospital.Participants: Patients (N=34) at least 3 months after stroke were randomly assigned into the experimental and the control groups.Interventions: In addition to regular rehabilitation, the experimental group received a 30-minute noxious TS protocol (heat pain 46–47°C/cold pain 2–3°C) 3days/wk for 8 weeks, and the control group received a 30-minute innocuous TS protocol (heat 40–41°C/cold 23...
Source: Archives of Physical Medicine and Rehabilitation - November 26, 2012 Category: Rehabilitation Authors: Hsin-Wen Hsu, Chia-Ling Lee, Miao-Ju Hsu, Hung-Chia Wu, Roxane Lin, Ching-Lin Hsieh, Jau-Hong Lin Tags: Original Articles Source Type: research
Hospital to Home Transition for Patients with Stroke under Bundled Payments
Bundled payments are one of the promising Alternative Payment Models for reducing costs and improving the coordination of post-acute stroke care. Yet there is limited evidence supporting the effectiveness of bundled payments for stroke. This may be due to the lack of effective strategies to address the complex needs of stroke survivors. In this article, we describe COMprehensive Post-Acute Stroke Services (COMPASS), a comprehensive transitional care intervention, focused on discharge from the acute care setting to home.
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Yucheng Hou, Cheryl D. Bushnell, Pamela W. Duncan, Anna M. Kucharska-Newton, Jacqueline R. Halladay, Janet K. Freburger, Justin G. Trogdon Source Type: research
Using Machine Learning to develop a short-form measure assessing 5 functions in patients with stroke
This study aimed to develop and validate a machine learning based short measure (the ML-5F) to assess 5 functions (activities of daily living (ADL), balance, upper extremity (UE) and lower extremity (LE) motor function, and mobility) in patients with stroke.Design: Secondary data from a previous study. A follow-up study assessed patients with stroke using the Barthel Index (BI), Postural Assessment Scale for Stroke (PASS), and Stroke Rehabilitation Assessment of Movement (STREAM) at hospital admission and discharge.
Source: Archives of Physical Medicine and Rehabilitation - December 30, 2021 Category: Rehabilitation Authors: Gong-Hong Lin, Chih-Ying Li, Ching-Fan Sheu, Chien-Yu Huang, Shih-Chieh Lee, Yu-Hui Huang, Ching-Lin Hsieh Source Type: research
Position-Dependent, Hyperexcitable Patellar Reflex Dynamics in Chronic Stroke
Abstract: Objectives: To quantify tendon tap response (TTR) properties and their position dependence using multiple neuromechanical parameters, and to analyze correlations among neuromechanical and clinical measures.Design: Hyperexcitable dynamics of TTR were investigated in a case-control manner. An instrumented hammer was used to induce the patellar deep tendon reflex (DTR), with reflex-mediated electromyography and torque responses measured across a range of knee flexion.Setting: Research laboratory in a rehabilitation hospital.Participants: Chronic hemiplegic stroke survivors (n=9) and healthy subjects (n=13).Intervent...
Source: Archives of Physical Medicine and Rehabilitation - October 12, 2012 Category: Rehabilitation Authors: Chung-Yong Yang, Xin Guo, Yupeng Ren, Sang Hoon Kang, Li-Qun Zhang Tags: Original Articles Source Type: research
Factors Influencing Receipt of Early Rehabilitation After Stroke
Abstract: Objective: To identify patient-level characteristics associated with rehabilitation during the acute poststroke phase.Design: Retrospective cohort. Generalized estimating equations modeled the likelihood of rehabilitation during the index hospitalization to account for patient clusters.Setting: Rehabilitation facilities.Participants: Sample included veterans (N=9681; average age, 68.7y; 97.4% men) diagnosed with new stroke discharged from Veterans Affairs hospitals between October 1, 2006, and September 30, 2008.Interventions: Not applicable.Main Outcome Measure: Receipt of rehabilitation services.Results: Of th...
Source: Archives of Physical Medicine and Rehabilitation - August 6, 2013 Category: Rehabilitation Authors: Barbara E. Bates, Pui L. Kwong, Dawei Xie, Ali Valimahomed, Diane Cowper Ripley, Jibby E. Kurichi, Margaret G. Stineman Tags: Original Articles Source Type: research
Scaling Properties of the Subjective Index of Physical and Social Outcome After Stroke in a Study Population Unselected by Age
Abstract: Objective: To investigate the scaling properties of the Subjective Index of Physical and Social Outcome (SIPSO) after stroke in survivors to hospital discharge, unselected by age.Design: Factor, Mokken, and Rasch analyses of the SIPSO using data from a prospective observational cohort study.Setting: Three acute care hospitals.Participants: Consecutive admissions (N=312) with acute stroke, unselected by age.Interventions: Not applicable.Main Outcome Measures: Patient- or proxy-reported SIPSO, collected by postal survey 6 months after stroke.Results: Complete SIPSO questionnaires were returned by 166 of 268 survivo...
Source: Archives of Physical Medicine and Rehabilitation - September 12, 2013 Category: Rehabilitation Authors: Elizabeth A. Teale, Theresa M. Munyombwe, John B. Young Tags: Original Articles Source Type: research
What Is Mild Stroke?
Persons who experience mild stroke typically have a short hospital stay and will show symptoms of stroke that last longer than a day. Most likely the symptoms will go away after a short period. If the symptoms of stroke last
Source: Archives of Physical Medicine and Rehabilitation - April 28, 2017 Category: Rehabilitation Authors: Xiaolei Hu, Patricia C. Heyn, Jaclyn Schwartz, Pamela Roberts Tags: Organization news Source Type: research
Status of dysphagia after ischemic stroke: A Korean nationwide study
Post-stroke dysphagia is a common symptom in stroke patients. It is known that 13% to 18% of patients have persistent symptoms of dysphagia until 6 months after onset.1, 2 Dysphagia increases the risks of aspiration, associated complications (e.g., aspiration pneumonia), malnutrition, poor prognostic outcomes,3 and increased mortality.4 Early detection and treatment of dysphagia in stroke patients are crucial to prevent adverse complications, decrease the length of hospital stay, and reduce the health-care costs.
Source: Archives of Physical Medicine and Rehabilitation - August 2, 2021 Category: Rehabilitation Authors: Nayeon Ko, Hyun Haeng Lee, Min Kyun Sohn, Deog Young Kim, Yong-Il Shin, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Young-Hoon Lee, Won Hyuk Chang, Soo Mi Choi, Seon kui Lee, Jongmin Lee, Yun-Hee Kim Source Type: research
Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries s Discharged Home following a Stroke: Findings from the COMPASS Trial
Objectives: To examine the effect of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.Design: Cluster randomized pragmatic trialSetting: 41 acute care hospitals in North Carolina.Participants: 2,262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home.
Source: Archives of Physical Medicine and Rehabilitation - November 2, 2021 Category: Rehabilitation Authors: Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones, COMPASS team Source Type: research
