The relation between therapy intensity and outcomes of rehabilitation in skilled nursing facilities

Jette, Diane U.; Warren, Reg L.; Wirtalla, Christopher

doi:10.1016/j.apmr.2004.10.018

Cited by 170 publications

(118 citation statements)

References 30 publications

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“…Patients did not need to receive all therapies to be included in these analyses. To compare our findings with those from previous studies on the relationship between therapy and outcomes, we defined patients receiving PT for ≥ 0.5 hours/day as the intervention group [17,19]. The control group did not receive any PT during their hospital stay.…”

Section: Intervention Vs Controlmentioning

confidence: 78%

“…PT to restore functional reserve has been applied to certain acute illness, such as stroke and hip fracture, with excellent rehabilitation potential in both acute and post-acute hospital settings [13,14]. There is evidence of dose-dependent effects of PT on functional recovery in a post-acute care setting [16,17].…”

Section: Aging and Disease • Volume 6 Number 3 June 2015 175mentioning

confidence: 99%

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Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function

Kim¹,

Lee²,

Han³

et al. 2015

Aging and disease

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To examine whether hospital-based physical therapy is associated with functional changes and early hospital readmission among hospitalized older adults with community-acquired pneumonia and declining physical function. Study design was a retrospective observation study. Participants were community-dwelling older adults admitted to medicine floor for community-acquired pneumonia (n = 1,058). Their physical function using Katz activities of daily living (ADL) Index declined between hospital admission and 48 hours since hospital admission (Katz ADL Index 6→5). The intervention group was those receiving physical therapy for ≥ 0.5 hour/day. Outcomes were Katz ADL Index at hospital discharge and all-cause 30-day hospital readmission rate. The intervention and control groups did not differ in the Katz ADL Index at hospital discharge (p = 0.11). All-cause 30-day hospital readmission rate was lower in the intervention than in control groups (OR = 0.65, p = 0.02). Hospital-based physical therapy has the benefits toward reducing 30-day hospital readmission rate of acutely ill older adults with community-acquired pneumonia and declining physical function.Key words: hospitalization, patient outcome assessment, physical therapy, pneumonia Functional decline in older adults is common and occurs in up to one-third of recently hospitalized older adults [1]. The hospital environment accelerates the reduction of functional reserve implicated factors include forced immobilization, disorientation due to unfamiliar hospital environments, and frequent orders not to eat by mouth [2][3][4][5][6]. In fact, hospitalized older adults spend more than 70% of their time lying in bed due to acute medical conditions, despite having the ability to walk [4].Functional decline during or after hospitalization is associated with adverse health outcomes, prolonged hospital stays due to more frequent occurrences of hospital complications, such as delirium; and more frequent episodes of early hospital readmissions and even higher long-term mortality rate [7][8][9][10][11][12].

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Section: Intervention Vs Controlmentioning

confidence: 78%

Section: Aging and Disease • Volume 6 Number 3 June 2015 175mentioning

confidence: 99%

Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function

Kim¹,

Lee²,

Han³

et al. 2015

Aging and disease

View full text Add to dashboard Cite

show abstract

“…In a large cohort of stroke survivors (n = 23,824), Wodchis et al (2005) found that intensity of rehabilitation was positively associated with expedited discharge in patients with an uncertain prognosis on admission (Wodchis et al, 2005). This association was confirmed in a recent study by Jette et al (2005) who found higher intensity of therapy was associated with shorter hospitalization and higher likelihood of functional independence and mobility (Jette, Warren, & Wirtalla, 2005). Importantly, the benefit of increasing the intensity of therapy is maintained beyond the treatment phase.…”

Section: Best Model For Intensity Of Therapysupporting

confidence: 61%

Examining a visuospatial/visuomotor training program as an intervention to induce cognitive improvement during acute post-stroke recovery.

Rizkalla¹

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“…Motor FIM scores have been previously categorized into a clinically relevant grading 22 system, which has been validated in a variety of settings for assorted purposes. 23,24 Explicit grade definitions were presented in tabular form previously. 22 Given the importance of physical functionality after severe injury, the primary outcome of this analysis was discharge physical grade based on the 13 motor items.…”

Section: Discussionmentioning

confidence: 99%

Physical Disability After Injury-Related Inpatient Rehabilitation in Children

2012

PEDIATRICS

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The relation between therapy intensity and outcomes of rehabilitation in skilled nursing facilities

Cited by 170 publications

References 30 publications

Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function

Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function

Examining a visuospatial/visuomotor training program as an intervention to induce cognitive improvement during acute post-stroke recovery.

Physical Disability After Injury-Related Inpatient Rehabilitation in Children

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