Evaluation of an Interdisciplinary Screening Program for People With Parkinson Disease and Movement Disorders.
Evaluation of an Interdisciplinary Screening Program for People With Parkinson Disease and Movement Disorders.
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DOI：
10.1016/j.arrct.2020.100067
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发表时间：
2020-09
影响因子：
--
通讯作者：
Rafferty M
中科院分区：
文献类型：
--
作者：
Khan U;Stoff L;Yahuaca JD;Bhagavat B;Toledo S;Goldman JG;Simuni T;Rafferty M
描述帕金森病和运动障碍（pdmd）患者的特征，这些患者由神经科医生转介到理疗师领导的跨学科康复筛查项目。电子病历（emr）的回顾性数据分析。门诊PDMD神经病学诊所和跨学科康复医院的PDMD筛查计划。2009-2017年由神经科医生转诊到跨学科康复筛查项目的PDMDs患者（n=934）， 2009-2015年早期转诊（n=449）， 2015-2017年近期转诊（n=485），以及2015-2017年新的跨学科康复筛查项目评估的患者（n=183）。参加由理疗师领导的PDMD筛查门诊。人口统计学，疾病相关特征，定时起床和走，会话音量，推荐的治疗服务，以及在跨学科康复筛查计划后完成90天的治疗次数。2009-2017年，从神经科医生转介到跨学科康复筛查项目的患者年龄为72±12.9岁，男性（56%），白人（65%），有一种或多种合并症（62%）。与2009-2015年早期转诊的患者相比，2015-2017年最近转诊的患者更年轻（P< 0.001），病程更早（P= 0.036）。2015-2017年跨学科康复筛查项目参与者的平均Up和Go时间为15.4±10.1秒，平均会话音量为68.98±4.7 dB。随着时间的推移，跨学科康复筛查项目的数量不断增加，近年来在疾病的早期出现。长期维持该项目的关键策略包括为神经科医生制定一套独特的转诊命令，在康复医院的电子病历中实施全面的筛查工具，以及通过两家机构的社会工作者进行集中沟通。
To describe the characteristics of people with Parkinson disease and movement disorders (PDMDs) referred by neurologist to a physiatrist-led interdisciplinary rehabilitation screening program. Retrospective data analysis of electronic health records (EMRs). Outpatient PDMD neurology clinic and an interdisciplinary rehabilitation hospital’s PDMD screening program. People with PDMDs referred by neurologists to the interdisciplinary rehabilitation screening program from 2009-2017 (n=934), with early referrals from 2009-2015 (n=449) and recently referred from 2015-2017 (n=485), and patients who had new interdisciplinary rehabilitation screening program evaluations from 2015-2017 (n=183). Participation in the physiatrist-led PDMD screening clinic. Demographics, disease-related features, timed Up and Go, conversational voice volume, recommended therapy services, and number of therapies completed 90 days following interdisciplinary rehabilitation screening program. People referred from the neurologists to the interdisciplinary rehabilitation screening program from 2009-2017 were 72±12.9 years old, male (56%), white (65%), and with 1 or more comorbidities (62%). Compared with early referrals from 2009-2015, more recently referred participants from 2015-2017 were younger (P<.001) and earlier in disease duration (P=.036). The interdisciplinary rehabilitation screening program participants from 2015-2017 had mean timed Up and Go time of 15.4±10.1 seconds and a mean conversational voice volume of 68.98±4.7 dB. The interdisciplinary rehabilitation screening program was sustained with increased number of referrals over time, occurring earlier in the disease in more recent years. Key strategies used to sustain the program over time include development of a unique referral order set for the neurologists, implementation of a comprehensive screen tool in the rehabilitation hospital EMR, and centralized communication through social workers at both facilities.
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影响因子：
8.6
作者：
van der Marck, Marjolein A.;Bloem, Bastiaan R.;Guttman, Mark
通讯作者：
Guttman, Mark
影响因子：
3.5
作者：
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影响因子：
2.2
作者：
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DOI：
10.1111/j.1532-5415.1991.tb01616.x
发表时间：
1991-02-01
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
5.2
作者：
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通讯作者：
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