Factors Affecting Length of Stay in Adult Outpatient Physical Rehabilitation: A Scoping Review of the Literature

Woznowski-Vu, Arthur; Costa, Christina Da; Turgeon-Provost, Félix; Dagenais, Kristin; Roy-Mathie, Bianca; Aggban, Martina; Preuss, Richard

doi:10.3138/ptc.2014-75

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…Although the duration of PT treatment may vary depending on diagnosis, severity, and indication, typical PT interventions for musculoskeletal pain last for an average of 8 weeks. 16 De-identified charts were reviewed and selected based on the inclusion criteria. Subjects' pain scores were recorded at each PT visit, and compared between the initial PT evaluation (Time 1) and the PT discharge date (Time 2).…”

Section: Methodsmentioning

confidence: 99%

An Innovative Physical Therapy Intervention for Chronic Pain Management and Opioid Reduction Among People Living with HIV

Pullen

Rı́o

Brandon

et al. 2020

BioResearch Open Access

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Chronic pain management has become a treatment priority for people living with HIV (PLH), and PLH may be at increased risk for opioid addiction. Physical therapy (PT) has been shown to be effective as a nonpharmacological method of chronic pain management; however, there is a gap in research examining the role of PT for chronic pain, especially as it relates to opioid reduction, in this patient population. This retrospective study evaluated pain level and opioid use before and after PT intervention among HIV-positive adults with chronic pain on chronic opioid therapy ( n = 22). The study was conducted at a multidisciplinary AIDS clinic in Atlanta, GA. Outcome measures were self-reported pain on the numerical rating scale (0–10) and morphine milligram equivalents (MMEs), which measure opioid use. A majority of patients (77%) demonstrated a decrease in pain by the conclusion of the study period; however, only 18.2% of patients reported decreased pain as well as a decrease in MMEs. The most common PT treatments used among the patients with a decrease in pain and/or opioid use included home exercise programs, manual therapy, and self-pain management education. Eighty percent of the participants who did not decrease opioid use reported a decrease or elimination of pain by the end of the PT intervention. This reflects the need for careful consideration of the complexity of opioid use and addiction, and the importance of a multidisciplinary team to best serve the needs of PLH aiming to decrease chronic pain and opioid use.

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Section: Methodsmentioning

confidence: 99%

An Innovative Physical Therapy Intervention for Chronic Pain Management and Opioid Reduction Among People Living with HIV

Pullen

Rı́o

Brandon

et al. 2020

BioResearch Open Access

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“…The scoping review Scoping reviews have gained increasing popularity as a way of synthesising research findings 46,47 and are broadly a way of determining the research available on a specific topic 48 . Specifically, they are a form of knowledge synthesis that involves mapping existing literature to get a sense of the breadth and depth of a particular research area.…”

Section: Methodsmentioning

confidence: 99%

Resilience processes in sexually abused adolescent girls: A scoping review of the literature

Haffejee¹,

Theron²

2017

S. Afr. J. Sci.

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Childhood sexual abuse is often associated with a number of deleterious psychological and behavioural outcomes for survivors. However, some research suggests that this impact is variable and that some survivors adapt positively. An ability to adapt positively to adversity, under any circumstances, has been termed resilience. Drawing on a socio-ecological understanding of resilience, the aim of this scoping review was to comprehensively map existing empirical studies on resilience processes in sexually abused adolescent girls and to summarise emerging resilience-enabling factors. We also considered the implications of the findings for practice and research. A total of 11 articles met the criteria for inclusion in the review. Findings from these studies suggest that internal factors (meaning making, optimistic future orientation, agency and mastery) and contextual factors (supportive family, social and educational environments) function interdependently to enable resilience in sexually abused adolescent girls. Practitioners should leverage these complementary and interdependent resilience-enabling mechanisms by encouraging greater involvement of girls in the planning of interventions and by assisting girls in developing meaningful narratives about their abuse experiences. Interventions should also encourage greater involvement from supportive structures, while challenging social and cultural norms that inhibit resilience. Resilience researchers should be cognisant of the paucity of research focusing on resilience processes in sexually abused adolescent girls as well as the absence of innovative, participatory methods of data collection. Significance:•The review adds to a body of literature on resilience processes with implications for resilience researchers.• The findings have implications for a range of practitioners (psychologists, social workers, teachers etc.) who work with sexually abused girls.

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“…Length of hospital stay (LOS) is a frequently utilized outcome measure of hospitalization (Almashrafi, Elmontsri, & Aylin, 2016;Gopalakrishna, Ithman, & Malwitz, 2015;Olthof, Steven, Bulstra, & van den Akker-Scheek, 2014;Woznowski et al, 2015) and has important implications at the individual and systems level. Longer LOS is linked to increased costs for both hospitals and patients (Landeiro, Leal, & Gray, 2016) and reduced efficiency of service provision (Majeed et al, 2012), while patient outcomes have included reduced mental health status (Mayo, Wood-Dauphinee, Gayton, & Scott, 1997;Yohannes, Baldwin, & Connolly, 2008).…”

Section: Introductionmentioning

confidence: 99%

Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

et al. 2019

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Objectives: Evaluate the relative contribution of cognitive test performance to post-acute care (PAC) length of stay (LOS) and rehospitalization while controlling for key demographic, medical, and functional outcomes. Methods: Retrospective medical record review of 160 older Veterans, including cognitive test performance (Addenbrooke’s Cognitive Examination–Revised [ACE-R]), on admission to a Veterans Administration Hospital Community Living Center (CLC) PAC. Results: Individuals with impaired scores on the ACE-R had a longer LOS (10 median days longer; U = 2,547.00, p = .028). Of those rehospitalized, 71.4% ( n = 20) screened positive for cognitive impairment. Key medical factors explained the largest amount of variance in CLC-PAC LOS (29.8%), followed by admission ADL (activities of daily living) dependency (4.6%) and ACE-R total score (3.30%). Discussion: Cognitive screening should be considered on PAC admission, with impairment on ACE-R predicting geriatric rehabilitation outcomes such as risk of increased LOS and rehospitalization.

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Factors Affecting Length of Stay in Adult Outpatient Physical Rehabilitation: A Scoping Review of the Literature

Cited by 4 publications

References 21 publications

An Innovative Physical Therapy Intervention for Chronic Pain Management and Opioid Reduction Among People Living with HIV

An Innovative Physical Therapy Intervention for Chronic Pain Management and Opioid Reduction Among People Living with HIV

Resilience processes in sexually abused adolescent girls: A scoping review of the literature

Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

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