Frequency and reasons for unplanned transfer to the primary acute care service of inpatient rehabilitation glioblastoma multiforme patients

Fu, Jack B.; Gupta, Ekta; Morishita, Shinichiro; Andersen, Clark R.; Ngo‐Huang, An; Engle, Jessica P.; Guo, Ying

doi:10.1007/s00520-023-07591-z

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…For instance, physical rehabilitation may support better mobility which is associated with better survival outcomes. In a recent study of glioblastoma acute rehabilitation inpatients, lower levels of inpatient mobility, as assessed through the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks", were associated with a greater risk of transfer to the acute care service [41]. In turn, patients who underwent this unplanned transfer had a shorter survival compared to patients who were not transferred.…”

Section: Physical Therapy Rehabilitationmentioning

confidence: 99%

Rehabilitation in People Living with Glioblastoma: A Narrative Review of the Literature

Zanotto,

Glover,

Zanotto

et al. 2024

Cancers

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Glioblastoma is the most common primary malignant brain tumor. While preliminary data point to the positive effects of rehabilitation for patients with glioblastoma, there are unique challenges for clinicians working with this population, including limited life expectancy and/or rapid neurological deterioration. The aim of this article is to review the literature on rehabilitation of adults with glioblastoma, including the feasibility of interventions, their effectiveness, as well as the current clinical practice. The reviewed literature suggests that rehabilitation has been found beneficial for improving the functional prognosis and quality of life of adults with glioblastoma and is desired by patients. We summarize the qualitative evidence regarding healthcare professionals’ and patients’ perspectives on the use of supportive care services. We conclude there is a need for the design of effective rehabilitation programs for patients with glioblastoma, as well as for the development of glioblastoma-specific clinical guidelines for rehabilitation practitioners.

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Section: Physical Therapy Rehabilitationmentioning

confidence: 99%

Rehabilitation in People Living with Glioblastoma: A Narrative Review of the Literature

Zanotto,

Glover,

Zanotto

et al. 2024

Cancers

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Physical rehabilitation in neuro-oncology

Fu,

Morishita,

Connelly

2024

Neuropsychological and Psychosocial Foundations of Neuro-Oncology

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Unplanned transfer to acute care during inpatient geriatric rehabilitation: incidence, risk factors, and associated short-term outcomes

Fernandes,

Bula,

Krief

et al. 2024

BMC Geriatr

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Background Information is scarce on unplanned transfers from geriatric rehabilitation back to acute care despite their potential impact on patients’ functional recovery. This study aimed 1) to determine the incidence rate and causes of unplanned transfers; 2) to compare the characteristics and outcomes of patients with and without unplanned transfer. Methods Consecutive stays (n = 2375) in a tertiary geriatric rehabilitation unit were included. Unplanned transfers to acute care and their causes were analyzed from discharge summaries. Data on patients’ socio-demographics, health, functional, and mental status; length of stay; discharge destination; and death, were extracted from the hospital database. Bi- and multi-variable analyses investigated the association between patients’ characteristics and unplanned transfers. Results One in six (16.7%) rehabilitation stays was interrupted by a transfer, most often secondary to infections (19.3%), cardiac (16.8%), abdominal (12.7%), trauma (12.2%), and neurological problems (9.4%). Older patients (AdjORage≥85: 0.70; 95%CI: 0. 53–0.94, P = .016), and those admitted for gait disorders (AdjOR: 0.73; 95%CI: 0.53–0.99, P = .046) had lower odds of transfer to acute care. In contrast, men (AdjOR: 1.71; 95%CI: 1.29–2.26, P < .001), patients with more severe disease (AdjORCIRS: 1.05; 95%CI: 1.02–1.07, P < .001), functional impairment before (AdjOR: 1.69; 95%CI: 1.05–2.70, P = .029) and at rehabilitation admission (AdjOR: 2.07; 95%CI: 1.56- 2.76, P < .001) had higher odds of transfer. Transferred patients were significantly more likely to die than those without transfer (AdjOR 13.78; 95%CI: 6.46–29.42, P < .001) during their stay, but those surviving had similar functional performance and rate of home discharge at the end of the stay. Conclusion A significant minority of patients experienced an unplanned transfer that potentially interfered with their rehabilitation and was associated with poorer outcomes. Men, patients with more severe disease and functional impairment appear at increased risk. Further studies should investigate whether interventions targeting these patients may prevent unplanned transfers and modify associated adverse outcomes.

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Frequency and reasons for unplanned transfer to the primary acute care service of inpatient rehabilitation glioblastoma multiforme patients

Cited by 3 publications

References 35 publications

Rehabilitation in People Living with Glioblastoma: A Narrative Review of the Literature

Rehabilitation in People Living with Glioblastoma: A Narrative Review of the Literature

Physical rehabilitation in neuro-oncology

Unplanned transfer to acute care during inpatient geriatric rehabilitation: incidence, risk factors, and associated short-term outcomes

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