Physical Therapy Services Utilization and Length of Stay for Obese Patients Following Traumatic Leg Fracture

Slayton, Stephanie; Williams, D.; Newman, Glen

doi:10.18043/ncm.73.1.24

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Physical therapy is often recommended postoperatively to help patients recover mobility, improve strength and reduce pain 6–9. Despite the potential benefit of early mobilisation, patient participation in physical therapy is often variable 5 10–13. Additionally, there is no clear consensus on the optimal timing, duration, and intensity of therapy regimens following injury 6–8…”

Section: Introductionmentioning

confidence: 99%

Patient preferences for physical therapy programs after a lower extremity fracture: a discrete choice experiment

McKibben,

Marchand,

Demyanovich

et al. 2023

BMJ Open

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ObjectiveTo quantify patients’ preferences for physical therapy programmes after a lower extremity fracture and determine patient factors associated with preference variation.DesignDiscrete choice experiment.SettingLevel I trauma centre.ParticipantsOne hundred fifty-one adult (≥18 years old) patients with lower extremity fractures treated operatively.InterventionPatients were given hypothetical scenarios and asked to select their preferred therapy course when comparing cost, mobility, long-term pain, session duration, and treatment setting.Main outcome measuresA multinomial logit model was used to determine the relative importance and willingness to pay for each attribute.ResultsMobility was of greatest relative importance (45%, 95% CI: 40% to 49%), more than cost (23%, 95% CI: 19% to 27%), long-term pain (19%, 95% CI: 16% to 23%), therapy session duration (12%, 95% CI: 9% to 5%) or setting (1%, 95% CI: 0.2% to 2%). Patients were willing to pay US$142 more per session to return to their preinjury mobility level (95% CI: US$103 to US$182). Willingness to pay for improved mobility was higher for women, patients aged 70 years and older, those with bachelor’s degrees or higher and those living in less-deprived areas. Patients were willing to pay US$72 (95% CI: US$50 to US$93) more per session to reduce pain from severe to mild. Patients were indifferent between formal and independent home therapy (willingness to pay: −US$12, 95% CI: −US$33 to US$9).ConclusionsPatients with lower extremity fractures highly value recovering mobility and are willing to pay more for postoperative physical therapy programmes that facilitate returning to their pre-injury mobility level. These patient preferences might be useful when prescribing and designing new techniques for postoperative therapy.

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Section: Introductionmentioning

confidence: 99%

Patient preferences for physical therapy programs after a lower extremity fracture: a discrete choice experiment

McKibben,

Marchand,

Demyanovich

et al. 2023

BMJ Open

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Work-Related Injury and the Older Adult

Thomas¹,

Cadogan²

2012

J Gerontol Nurs

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Many older adults are working beyond what was considered a "normal" retirement age in past generations. If work-related injury occurs, older adults may have increased vulnerabilities due to age and comorbid conditions not shared by their younger working peers. This article presents an individual example in which these vulnerabilities are explored, and unique processes within the work environment are noted. Awareness of the risks to older workers will aid clinicians in any setting to maximize prevention and management of co-morbidities that improve health status, function, and employment performance for older workers.

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Physical Therapy Services Utilization and Length of Stay for Obese Patients Following Traumatic Leg Fracture

Cited by 2 publications

References 16 publications

Patient preferences for physical therapy programs after a lower extremity fracture: a discrete choice experiment

Patient preferences for physical therapy programs after a lower extremity fracture: a discrete choice experiment

Work-Related Injury and the Older Adult

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