17,314 results match your criteria inpatient rehabilitation


Comparison of patient- and clinician-reported outcome measures in lower back rehabilitation: introducing a new integrated performance measure (t2D).

Qual Life Res 2021 Jun 15. Epub 2021 Jun 15.

Ludwig Boltzmann Institute for Rehabilitation Research, Reizenpfenninggasse 1, 1140, Vienna, Austria.

Purpose: Patient- and clinician-reported outcome measures (PROMs, CROMs) are used in rehabilitation to evaluate and track the patient's health status and recovery. However, controversy still exists regarding their relevance and validity when assessing a change in health status.

Methods: We retrospectively analyzed the changes in a CROM (Fingertip-To-Floor Test - FTF) and PROMs (ODI, HAQ-DI, NPRS, EQ5D) and the associations between these outcomes in 395 patients with lower back pain (57. Read More

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Cross-cultural adaptation and psychometric validation of the Korean version of rehabilitation complexity scale for the measurement of complex rehabilitation needs.

Medicine (Baltimore) 2021 Jun;100(24):e26259

TBI Rehabilitation Center, National Traffic Injury Rehabilitation Hospital, Gyeonggi-do.

Abstract: The aim of this study was to translate and cross-culturally adapt the Rehabilitation Complexity Scale-Extended version 13 (RCS-E v13) to develop the Korean version of the Rehabilitation Complexity Scale (KRCS), and to explore its reliability, and concurrent and construct validity.This research was an observational study of a series of consecutive rehabilitation inpatients who were previously assessed with KRCS and grouped with the Korean rehabilitation patient group version 1.1 (KRPG v1. Read More

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Barriers and facilitators linked to discharge destination following inpatient rehabilitation after traumatic brain injury in older adults: a qualitative study.

Disabil Rehabil 2021 Jun 14:1-12. Epub 2021 Jun 14.

Interdisciplinary Centre for Research in Rehabilitation and Social Integration, Québec, Canada.

Purpose: To identify facilitators and barriers associated with returning home for older adults having received inpatient rehabilitation after traumatic brain injury (TBI).

Methods: A qualitative design was used. Five older patients with TBI and four family caregivers were interviewed and six healthcare professionals participated in a focus group. Read More

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Improvements in Hope, Engagement and Functioning Following a Recovery-Focused Sub-Acute Inpatient Intervention: a Six-Month Evaluation.

Psychiatr Q 2021 Jun 14. Epub 2021 Jun 14.

Hunter New England Mental Health Service, PO Box 833, Newcastle, NSW, 2300, Australia.

Few studies have examined the post-discharge benefits associated with recover-oriented programs delivered in inpatient and sub-acute mental health settings. The aim of this study was to evaluate the medium-term outcomes of a 6-week sub-acute inpatient intervention program for 27 service users with a diagnosis of serious mental illness (mean age = 33.22 years, 70. Read More

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Speed but Not Smoothness of Gait Reacts to Rehabilitation in Multiple Sclerosis.

Mult Scler Int 2021 3;2021:5589562. Epub 2021 Jun 3.

Centre for Clinical Neuroplasticity Medical Park Loipl, Bischofswiesen, Germany.

Introduction: Improved gait is one of the leading therapy goals in multiple sclerosis. A plethora of clinical timed trials and state-of-the-art technology-based approaches are available to assess gait performance.

Objectives: To examine what aspects of gait react to inpatient rehabilitation in MS and which parameters should be best assessed. Read More

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Prevalence and Treatment Characteristics of Spastic Hypertonia on First-time Admission to Acute Inpatient Rehabilitation.

Am J Phys Med Rehabil 2021 Jun 12. Epub 2021 Jun 12.

Department of Physical Medicine & Rehabilitation, McGovern Medical School at UTHealth, Houston, Texas. Department of Physical Medicine & Rehabilitation, Penn State Health, Hershey, Pennsylvania. Department of Physical Medicine & Rehabilitation, UTHealth San Antonio, San Antonio, Texas.

Objective: Report the prevalence of spasticity and treatment patterns during first-time admission to inpatient rehabilitation following acute stroke, traumatic brain injury (TBI), and spinal cord injury (SCI).

Design: Retrospective cohort.

Methods: Review of 285 adult patients consecutively admitted to inpatient rehabilitation. Read More

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Change of physical activity parameters of hip and pelvic fracture patients during inpatient rehabilitation and after discharge: analysis of global and in-depth parameters.

Eur Rev Aging Phys Act 2021 Jun 12;18(1). Epub 2021 Jun 12.

Department of Clinical Gerontology, Robert-Bosch-Hospital, Auerbachstr. 110, 70376, Stuttgart, Germany.

Background: A growing number of older adults suffer hip and pelvic fractures leading to hospital admission. They often result in reduced physical activity (PA) and impaired mobility. PA can be objectively measured with body-worn sensors. Read More

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Cognitive remediation therapy for anorexia nervosa as a rolling group intervention: Data from a longitudinal study in an eating disorders specialized inpatient unit.

Eur Eat Disord Rev 2021 Jun 12. Epub 2021 Jun 12.

Department of Neuroscience, University of Padova, Padova, Italy.

Objective: Cognitive remediation therapy (CRT) has been proposed as an add-on treatment approach that could increase the engagement in treatment of anorexia nervosa (AN) patients and reduce maintaining factors, but prior studies have evaluated CRT in individual and group settings, difficult protocols for rehabilitation settings. Our aim is to evaluate the CRT rolling protocol implementation in an inpatient specialised unit.

Methods: A historical longitudinal controlled study was designed to include 31 AN patients for the CRT program, and 28 AN patients treated as usual. Read More

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Unmet need for palliative rehabilitation in inpatient hospices/palliative care units: a nationwide post-bereavement survey.

Jpn J Clin Oncol 2021 Jun 11. Epub 2021 Jun 11.

Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.

In end-of-life care, rehabilitation for terminally ill cancer patients is inconsistently provided and rarely discussed. We sought to clarify the prevalence of unmet rehabilitation need for patients admitted to inpatient hospice/palliative care units as perceived by bereaved family members. We conducted a nationwide questionnaire survey of 1001 family members of cancer patients who died at inpatient hospices/palliative care units. Read More

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Discharge Disposition and Clinical Outcomes After Spine Surgery.

Am J Med Qual 2021 Jun 10. Epub 2021 Jun 10.

Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA.

Objective: Spinal decompression with or without fusion is one of the most commonly performed procedures in spine surgery. However, there is limited evidence on the effect of discharge environment on outcomes after surgery. The purpose of this study is to identify the effects of discharge disposition setting on clinical outcomes after spine surgery. Read More

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Implementation of the MATRIX Staffing Grid Improves Nurse Satisfaction With Rehabilitation Unit Staffing.

J Neurosci Nurs 2021 Jun 10. Epub 2021 Jun 10.

Questions or comments about this article may be directed to Nneka L. Ifejika, MD MPH, at N.L.I. is Section Chief of Stroke Rehabilitation, Departments of Physical Medicine and Rehabilitation, Neurology, and Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX. Yahaddy Riley, BSN RN CRRN, is RN II, Zale Lipshy University Hospital, University of Texas Southwestern Medical Center. Jacqueline Stitt, MSN RN CRRN, is RN II, Zale Lipshy University Hospital, University of Texas Southwestern Medical Center. Cynthia M. Hill, BRN, RN, is Nurse Manager, Zale Lipshy University Hospital, University of Texas Southwestern Medical Center. Sonja E. Stutzman, PhD, is Manager of Clinical Research, Neuroscience Nursing Research Center, O'Donnell Brain Institute, University of Texas Southwestern Medical Center. Aardhra M. Venkatachalam, MPH, is Clinical Data Specialist, Neuroscience Nursing Research Center, O'Donnell Brain Institute, University of Texas Southwestern Medical Center. Veronica Aguilera, is Nursing Student, Texas Woman's University; Interviewer, Neuroscience Nursing Research Center, O'Donnell Brain Institute, University of Texas Southwestern Medical Center.

Abstract: BACKGROUND: Information on nurse satisfaction and unit acuity is scarce in the literature. The purpose of this study is to evaluate the effect of the MATRIX Staffing Grid (MSG) on nurse assignment satisfaction in a 20-bed inpatient rehabilitation facility. METHODS: Prospective systematic implementation study of the MSG occurred in 5 phases: development, baseline, run-in, implementation, and sustainability. Read More

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Evaluation of a Home-Based, Nurse Practitioner-led Advanced Illness Care Program.

J Am Med Dir Assoc 2021 Jun 8. Epub 2021 Jun 8.

Innovative Homecare Solutions, UPMC, Pittsburgh, PA, USA; Department of Physical Medicine & Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Objectives: In the United States, people with serious illness often experience gaps and discontinuity in care. Gaps are frequently exacerbated by limited mobility, need for social support, and challenges managing multiple comorbidities. The Advanced Illness Care (AIC) Program provides nurse practitioner-led, home-based care for people with serious or complex chronic illnesses that specifically targets palliative care needs and coordinates with patients' primary care and specialty health care providers. Read More

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WWII traumatic events, subjective well-being and valuation of life in the very old.

Z Gerontol Geriatr 2021 Jun 11. Epub 2021 Jun 11.

Chair of Rehabilitative Gerontology, Department of Special Education and Rehabilitation Science, Faculty of Human Sciences, University of Cologne, Herbert-Lewin-Str. 2, 50931, Cologne, Germany.

Background: Experiencing war is a major trigger for physical and mental health problems. People in the German population who are currently over 80 years of age experienced the Second World War (WWII) as children or adolescents, at a time when psychological vulnerability is high. Empirical results show that positive subjective well-being (SWB) and valuation of life (VoL) in older cohorts are widespread; however, when confronted with existential age-associated changes, many older adults experience increased burden, sometimes bringing biographical vulnerabilities to the forefront. Read More

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Step-by-step inpatient rehabilitation for critical illness after coronavirus disease 2019: A CARE-compliant case report.

Medicine (Baltimore) 2021 Jun;100(23):e26317

Department of Rehabilitation Medicine, Kyungpook National University Hospital.

Introduction: Since the coronavirus disease (COVID-19) outbreak in Wuhan, China, in December 2019, COVID-19 has become a worldwide pandemic. Muscle weakness and deconditioning caused by COVID-19-induced critical illness requires rehabilitation.

Patient Concerns: A 74-year-old male patient complained of general weakness after COVID-19, requiring ventilator treatment. Read More

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Potential for misinterpretation: An everyday problem male nurses encounter in inpatient rehabilitation.

Int J Nurs Pract 2021 Jun 11:e12985. Epub 2021 Jun 11.

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Aims: This study aims to report on the everyday concern of the 'potential for misinterpretation', which was the basic social problem revealed in a grounded theory study exploring male nurse practice in inpatient rehabilitation in Australia.

Background: Male nurses account for approximately 10% of nursing workforce across western countries and they practice in a range of clinical areas; however, how they practice in inpatient rehabilitation remains unexplored.

Methods: Constructivist grounded theory was used in this study and was conducted in two phases: (i) involved semi-structured interviews with 11 male nurses from October 2013 to June 2014 and (ii) observation of practice of 12 male nurses and semi-structured interviews with male nurses and 15 patients from February to April 2015. Read More

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Hospital effects drive variation in access to inpatient rehabilitation after trauma.

J Trauma Acute Care Surg 2021 Apr 8. Epub 2021 Apr 8.

Department of Surgery, University of Michigan, Ann Arbor, MI Center for Health Outcomes and Policy Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI.

Background: Post-acute care rehabilitation is critically important to recover after trauma but many patients do not have access. A better understanding of the drivers behind inpatient rehabilitation facility (IRF) use has the potential for major cost-savings as well as higher quality, and more equitable patient care. We sought to quantify the variation in hospital rates of trauma patient discharge to inpatient rehabilitation and understand which factors (patient- vs injury- vs hospital-level) contribute the most. Read More

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Cardiac Coaches: A Student-Led Inpatient Cardiac Rehabilitation Program in the COVID-19 Era.

Acad Med 2021 Jun 8. Epub 2021 Jun 8.

Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland; ORCID: https://orcid.org/0000-0002-0226-5518. Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland. Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland. Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland. Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland. Second-year medical student, University of Maryland School of Medicine, Baltimore, Maryland. Assistant professor, University of Maryland School of Medicine, Baltimore, Maryland; ORCID: https://orcid.org/0000-0002-4798-1665.

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Vasculitis damage index in Behçet's disease.

Adv Rheumatol 2021 Jun 9;61(1):33. Epub 2021 Jun 9.

Rheumatology and Rehabilitation Department, Cairo University, Cairo, Egypt.

Background: Vasculitis damage index (VDI) is a validated damage index for systemic vasculitis, and as Behçet's disease is considered one of systemic vascular disease we aimed to study the relationship of the vasculitis damage index to clinical manifestations and comorbidity in patients with Behçet's disease (BD) to determine if VDI could be used to assess damage in patients with BD.

Methods: A total of 109 patients with BD were recruited from the Rheumatology Department (outpatient and inpatient clinic), Cairo University Hospitals. All patients were subjected to full history taking, clinical examination, and routine laboratory investigations. Read More

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National early warning score on admission as risk factor for invasive mechanical ventilation in COVID-19 patients: A STROBE-compliant study.

Medicine (Baltimore) 2021 May;100(19):e25917

Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

Abstract: The coronavirus disease (COVID-19) has become a global pandemic. Invasive mechanical ventilation is recommended for the management of patients with COVID-19 who have severe respiratory symptoms. However, various complications can develop after its use. Read More

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What is the effect of supervised rehabilitation regime vs. self-management instruction following unicompartmental knee arthroplasty? - a pilot study in two cohorts.

J Exp Orthop 2021 Jun 9;8(1):38. Epub 2021 Jun 9.

University of Copenhagen, Faculty of Health and Medical Sciences, Blegdamsvej 3B, 2200, Copenhagen N, Denmark.

Purpose: The optimal rehabilitation strategy after a unicompartmental knee arthroplasty (UKA) is unclear. This study aims to compare the effect of transitioning from a supervised to a self-management rehabilitation regime by pilot study of patient outcomes subsequent to UKA surgery.

Methods: Fifty consecutive patients scheduled to undergo unilateral UKA surgery at our institution between 22 February 2016 and 18of January 2017 were prospectively identified via local medical database and included. Read More

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Sunnybrook Facial Grading System reliability in subacute stroke patients.

Eur J Phys Rehabil Med 2021 Jun 9. Epub 2021 Jun 9.

IRCCS Fondazione Santa Lucia, Rome, Italy.

Background: A lack of evidence on the reliability limits the utility of the Sunnybrook Facial Grading System (SFGS) in individuals affected by stroke both in clinical and research settings.

Aim: To examine the test-retest reliability and the inter-rater reliability of the SFGS in patients affected by subacute stroke.

Design: A repeated-assessments design (fifteen days apart) was used to examine the test-retest reliability of the SFGS. Read More

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Four weeks of electromyostimulation improves muscle function and strength in sarcopenic patients: a three-arm parallel randomized trial.

J Cachexia Sarcopenia Muscle 2021 Jun 9. Epub 2021 Jun 9.

Department of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.

Background: Sarcopenia, defined as loss of muscle mass, quality, and function, is associated with reduced quality of life and adverse health outcomes including disability and mortality. Electromyostimulation (EMS) has been suggested to attenuate the loss of muscle mass and function in elderly, sedentary individuals. This study aimed to investigate the effects of EMS on muscle strength and function during 4 weeks of inpatient medical rehabilitation. Read More

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The benefit of exercise-based rehabilitation programs in patients with pulmonary hypertension: a systematic review and meta-analysis of randomized controlled trials.

Pulm Circ 2021 Apr-Jun;11(2):20458940211007810. Epub 2021 May 27.

Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Several studies have suggested that exercise capacity and quality of life are reduced in patients with pulmonary hypertension, and exercise-based rehabilitation can improve exercise capacity and quality of life in patients with pulmonary hypertension. The aim of this study is to assess the efficacy and safety of exercise-based rehabilitation in patients with pulmonary hypertension through a meta-analysis of randomized controlled trials. We searched PubMed, Embase, Medline, and the Cochrane Central Register of Controlled Trials up to November 2018. Read More

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Restrictive Eating Disorders: Accelerating Treatment Outcomes in the Medical Hospital.

Hosp Pediatr 2021 Jun 8. Epub 2021 Jun 8.

Departments of Pediatrics and Psychiatry and Behavioral Sciences, University of California, San Francisco, California

Pediatric patients with anorexia nervosa and atypical anorexia nervosa may present to hospitals with significant vital sign instability or serum laboratory abnormalities necessitating inpatient medical hospitalization. These patients require specialized care, numerous resources, and interdisciplinary collaboration during what can be a protracted admission. Recent evidence informs areas in which care can be accelerated, and published protocols from major children's hospitals are helpful roadmaps to creating a streamlined hospitalization. Read More

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Effect of early intensive rehabilitation on the clinical outcomes of patients with acute stroke.

Geriatr Gerontol Int 2021 Jun 8. Epub 2021 Jun 8.

Department of Rehabilitation, Kobe City Medical Center General Hospital, Kobe, Japan.

Aim: Intensive rehabilitation effectively improves physical functions in patients with acute stroke, but the frequency of intervention and its cost-effectiveness are poorly studied. This study aimed to examine the effect of early high-frequency rehabilitation intervention on inpatient outcomes and medical expenses of patients with stroke.

Methods: The study retrospectively included 1759 patients with acute stroke admitted to the Kobe City Medical Center General Hospital between 2013 and 2016. Read More

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Prioritizing solutions to incorporate Prosthetics and Orthotics services into Iranian health benefits package: Using an analytic hierarchy process.

PLoS One 2021 8;16(6):e0253001. Epub 2021 Jun 8.

Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Introduction: Health benefits package (HBP) is regarded as one of the main dimensions of health financing strategy. Even with increasing demands for prosthetics and orthotics (P&O) services to approximately 0.5% of the world's population, only 15% of vulnerable groups have the chance to make use of such benefits. Read More

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Reversal of 'the dying' diagnosis.

BMJ Case Rep 2021 Jun 7;14(6). Epub 2021 Jun 7.

Macmillan Palliative Care Unit, Northern General Hospital, Sheffield, UK.

A 75-year-old woman was admitted with sepsis and treated with broad-spectrum antibiotics until examination of her lower limbs noted necrotising wounds. Surgical intervention was advised by the plastic surgeons; however, she was deemed unsuitable for intensive care. She underwent incision and drainage of the necrotic area and biopsies were taken. Read More

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The association between ethnicity, socioeconomic deprivation and receipt of hospital-based palliative care for people with Covid-19: A dual centre service evaluation.

Palliat Med 2021 Jun 8:2692163211022959. Epub 2021 Jun 8.

Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.

Background: People from ethnic minority groups and deprived socioeconomic backgrounds have worse outcomes from COVID-19.

Aim: To examine associations between ethnicity and deprivation with timing of palliative care referral for inpatients with COVID-19.

Design: Service evaluation of consecutive patients with COVID-19 referred to palliative care. Read More

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Preinjury Functional Independence is not Associated with Discharge Location in Older Trauma Patients.

J Surg Res 2021 Jun 4;266:413-420. Epub 2021 Jun 4.

Department of Surgery, University of Wisconsin School of Medicine, Madison, WI.

Background: The purpose of this study was to evaluate the association between pre-injury Katz Index of Independence in Activities of Daily Living (Katz ADL) functional status and discharge to a facility in non-neurologically injured older trauma patients.

Methods: Data were obtained from 207 patients in the Trauma Medical Home study cohort. Multivariable logistic regression was performed to identify factors associated with non-home discharge. Read More

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