Inpatient Rehabilitation Facility Including Rehabilitation distinct Part Units of a Hospital

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. A pilot study was completed to examine the effectiveness of OT in helping individuals regain independence in activities of daily living after COVID-19. In a retrospective chart review, statistically significant results (p < .05) on the Inpatient Rehabilitation Facility Patient Assessment Instrument and the Modified Barthel Index demonstrated that OT is effective in the rehabilitation setting to increase individuals' independence following a COVID-19 diagnosis. Primary Author and Speaker: Nelle Hannah Ouellette Additional Authors and Speakers: Leah Bellinger, Julie Leonard Contributing Authors: Leah Bellinger, Julie Leonard

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Physical Function in the Hospital Is Associated With Patient-Centered Outcomes in an Inpatient Rehabilitation Facility

Physical Therapy ◽

10.1093/ptj/pzaa073 ◽

2020 ◽

Vol 100 (8) ◽

pp. 1237-1248 ◽

Cited By ~ 1

Author(s):

Joshua K Johnson ◽

Julie M Fritz ◽

Benjamin S Brooke ◽

Paul C LaStayo ◽

Anne Thackeray ◽

...

Keyword(s):

Physical Function ◽

Hospital Discharge ◽

Short Form ◽

Academic Medical Center ◽

Inpatient Rehabilitation ◽

Acute Hospital ◽

Adjusted Relative Risk ◽

Day Hospital ◽

Rehabilitation Facility ◽

Inpatient Rehabilitation Facility

Abstract Objective Poor knowledge of the relationships between physical function (PF) in the hospital and patient outcomes in an inpatient rehabilitation facility (IRF) limits the identification of patients most appropriate for discharge to an IRF. This study aimed to test for independent associations between PF measured via the AM-PAC “6-clicks” basic mobility short form in the hospital and outcomes in an IRF. Methods This was a retrospective cohort study. Primary data were collected from an acute hospital and IRF at 1 academic medical center. Associations were tested between PF at hospital admission or discharge and PF improvement in the IRF, discharge from the IRF to the community, and 30-day hospital events by estimating adjusted relative risk (aRR) using modified Poisson regression and the relative difference in IRF length of stay (LOS) using Gamma regression. Results A total of 1323 patients were included. Patients with moderately low, (aRR = 1.50; 95% CI = 1.15–1.93), moderately high (aRR = 1.52; 95% CI = 1.16–2.01), or high (aRR = 1.37; 95% CI = 1.02–1.85) PF at hospital discharge were more likely than those with very low PF to improve their PF while in the IRF. These same patients were more likely to discharge from IRF to the community and had significantly shorter IRF LOS. Hospital-measured PF did not differentiate risk for 30-day hospital events. Conclusion Patients with moderate—but not very low or very high—PF measured near the time of acute hospital discharge were likely to achieve meaningful PF improvement in an IRF. They also had a shorter IRF LOS so may be ideal candidates for discharge to IRF. Prospective studies with larger samples are necessary to test this assertion. Impact Providers in the hospital should identify patients with moderate PF near the time of hospital discharge as those who may benefit most from post-acute rehabilitation in an IRF.

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The Early Impact of the Inpatient Rehabilitation Facility Prospective Payment System on Stroke Rehabilitation Case Mix, Practice Patterns, and Outcomes

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2005.07.313 ◽

2005 ◽

Vol 86 (12) ◽

pp. 93-100 ◽

Cited By ~ 23

Author(s):

Gerben DeJong ◽

Susan D. Horn ◽

Randall J. Smout ◽

David K. Ryser

Keyword(s):

Stroke Rehabilitation ◽

Practice Patterns ◽

Inpatient Rehabilitation ◽

Prospective Payment System ◽

Payment System ◽

Case Mix ◽

Prospective Payment ◽

Rehabilitation Facility ◽

Inpatient Rehabilitation Facility

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Low-Frequency Oscillations Are a Biomarker of Injury and Recovery After Stroke

Stroke ◽

10.1161/strokeaha.120.028932 ◽

2020 ◽

Vol 51 (5) ◽

pp. 1442-1450 ◽

Cited By ~ 5

Author(s):

Jessica M. Cassidy ◽

Anirudh Wodeyar ◽

Jennifer Wu ◽

Kiranjot Kaur ◽

Ashley K. Masuda ◽

...

Keyword(s):

Primary Motor Cortex ◽

Low Frequency ◽

Inpatient Rehabilitation ◽

Motor Recovery ◽

Rehabilitation Facility ◽

Low Frequency Oscillations ◽

Band Power ◽

Interhemispheric Coherence ◽

Delta Band ◽

Inpatient Rehabilitation Facility

Background and Purpose— Low-frequency oscillations reflect brain injury but also contribute to normal behaviors. We examined hypotheses relating electroencephalography measures, including low-frequency oscillations, to injury and motor recovery poststroke. Methods— Patients with stroke completed structural neuroimaging, a resting-state electroencephalography recording and clinical testing. A subset admitted to an inpatient rehabilitation facility also underwent serial electroencephalography recordings. The relationship that electroencephalography measures (power and coherence with leads overlying ipsilesional primary motor cortex [iM1]) had with injury and motor status was assessed, focusing on delta (1–3 Hz) and high-beta (20–30 Hz) bands. Results— Across all patients (n=62), larger infarct volume was related to higher delta band power in bilateral hemispheres and to higher delta band coherence between iM1 and bilateral regions. In chronic stroke, higher delta power bilaterally correlated with better motor status. In subacute stroke, higher delta coherence between iM1 and bilateral areas correlated with poorer motor status. These coherence findings were confirmed in serial recordings from 18 patients in an inpatient rehabilitation facility. Here, interhemispheric coherence between leads overlying iM1 and contralesional M1 was elevated at inpatient rehabilitation facility admission compared with healthy controls (n=22), declining to control levels over time. Decreases in interhemispheric coherence between iM1 and contralesional M1 correlated with better motor recovery. Conclusions— Delta band coherence with iM1 related to greater injury and poorer motor status subacutely, while delta band power related to greater injury and better motor status chronically. Low-frequency oscillations reflect both injury and recovery after stroke and may be useful biomarkers in stroke recovery and rehabilitation.

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