Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2009
Predictors and outcomes of antibiotic adequacy for bloodstream infections in veterans with spinal cord injury.
To identify predictors and outcomes associated with receiving inadequate empirical antimicrobial treatment for bloodstream infections (BSIs) in persons with spinal cord injury (SCI). ⋯ Over one third of patients received inadequate empirical treatment, which was associated with having a polymicrobial BSI. However, inadequate treatment was not associated with increased mortality or LOS postinfection.
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Arch Phys Med Rehabil · Aug 2009
Multicenter StudyLong-term outcomes of joint replacement rehabilitation patients discharged from skilled nursing and inpatient rehabilitation facilities.
To examine functional and health status outcomes of patients with joint replacement discharged from a skilled nursing facility (SNF) or an inpatient rehabilitation facility (IRF). ⋯ At follow-up, patients with joint replacement discharged from IRFs had better motor FIM outcomes than those discharged from freestanding SNFs and the hospital-based SNF. Settings did not differ materially in terms of SF-12 outcomes. Findings do not favor one setting decisively over another. A sole focus on initial postacute placement overlooks the larger trajectory of postacute care that needs to be managed to achieve superior outcomes.
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Arch Phys Med Rehabil · Aug 2009
Comparative StudyInfluence of race/ethnicity on divorce/separation 1, 2, and 5 years post spinal cord injury.
(1) To compare the proportions of divorce/separation between races/ethnicities at 1, 2, and 5 years post spinal cord injury (SCI); (2) to examine changes in proportions of divorce/separation over time within each race/ethnicity group; and (3) to compare the changes in proportions of divorce/separation over time between races/ethnicities. ⋯ Family therapists and rehabilitation professionals should work together to reduce the separation and divorce rates in all subjects with SCI, with special attention paid to meeting the specific needs of those with minority backgrounds.
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Arch Phys Med Rehabil · Aug 2009
Multicenter Study Comparative StudyJoint replacement rehabilitation outcomes on discharge from skilled nursing facilities and inpatient rehabilitation facilities.
To compare functional outcomes at discharge across postacute settings. ⋯ As a group, IRFs had better motor FIM outcomes than did SNFs, but the size of the IRF advantage was not large. Other important facility and practice characteristics also were associated with discharge outcomes after joint replacement rehabilitation. Earlier and more intensive rehabilitation was associated with better outcomes. The volume of joint replacement patients seen by a facility also plays a part: medium-volume facilities among both SNFs and IRFs had better outcomes.
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Arch Phys Med Rehabil · Aug 2009
Multicenter Study Comparative StudyUse of rehabilitation and other health care services by patients with joint replacement after discharge from skilled nursing and inpatient rehabilitation facilities.
To compare use of rehabilitation and other health services among patients with knee and hip replacement after discharge from a skilled nursing facility (SNF) or an inpatient rehabilitation facility (IRF). ⋯ Patients with joint replacement from both SNFs and IRFs receive considerable amounts of follow-up rehabilitation care. Study uncovered no setting effects related to rehospitalization or medical complications. Looking only at care rendered in the initial postacute setting provides an incomplete picture of all care received and how it may affect follow-up outcomes.