Designing and implementing a system for tracking functional status after stroke: a feasibility study.
Designing and implementing a system for tracking functional status after stroke: a feasibility study.
复制标题
DOI：
10.1016/j.pmrj.2012.09.579
复制
发表时间：
2013-06
期刊：
影响因子：
2.1
通讯作者：
Chan, Leighton
中科院分区：
文献类型：
--
作者：
Sandel, M. Elizabeth;Jette, Alan M.;Appelman, Jed;Terdiman, Joseph;TeSelle, Marian;Delmonico, Richard L.;Wang, Hua;Camicia, Michelle;Rasch, Elizabeth K.;Brandt, Diane E.;Chan, Leighton
To determine the feasibility of tracking stroke patients’ functional outcomes in an integrated health system across a care continuum using the computer version of the Activity Measure of Post-Acute Care (AM-PAC). A large integrated healthcare system in northern California. 222 stroke patients (aged 18 or older) hospitalized after an acute cerebrovascular accident. An AM-PAC assessment was made at discharge from sites of care, including acute hospital, inpatient rehabilitation hospital, skilled nursing facility, home during home care, and in outpatient settings. Assessments were also completed in the patient’s home at six months. Data from the AM-PAC program was integrated with the health care system’s databases. 1) AM-PAC administration time at the various sites of care; 2) assessment of a floor or a ceiling effect, 3) administrative burden of tracking participants AM-PAC assessment sessions averaged 7.9 minutes for data acquisition in 3 domains: Basic Mobility, Activities of Daily Living, and Applied Cognition. Participants answered, on average, 27 AM-PAC questions per session. A small ceiling effect was observed at 6 months and there was a larger ceiling effect when the instrument was administered in an institution, i.e., using the AM-PAC institutional item bank, rather than the community item bank. It was feasible to track patients and assess their function using the AM-PAC instrument from institutional to community settings. Implementation of the AM-PAC in clinical environments, and success of the project was influenced by instrumental, technological, operational, resource, and cultural factors. This study demonstrates the feasibility of implementing a single functional outcome instrument in clinical and community settings to measure rehabilitation functional outcomes of stroke patients. Integrating the AM-PAC measurement system into clinical workflows and the electronic medical record could provide assistance to clinicians for medical decisions, functional prognostication, and discharge planning.
登录
查看更多内容
DOI：
10.1016/s1052-3057(03)00042-9
发表时间：
2003-05-01
期刊：
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
影响因子：
--
作者：
Kelly-Hayes, Margaret;Beiser, Alexa;Wolf, Philip A
通讯作者：
Wolf, Philip A
DOI：
10.1016/s0003-9993(95)80567-2
发表时间：
1995-05-01
影响因子：
4.3
作者：
JORGENSEN, HS;NAKAYAMA, H;OLSEN, TS
通讯作者：
OLSEN, TS
影响因子：
3.2
作者：
Jette, Alan M.;Haley, Stephen M.;Zurek, Matthew
通讯作者：
Zurek, Matthew
影响因子：
3.5
作者：
Haley, Stephen M.;Ni, Pengsheng;Ludlow, Larry H.
通讯作者：
Ludlow, Larry H.
影响因子：
8.3
作者：
ANDERSON, CS;LINTO, J;STEWARTWYNNE, EG
通讯作者：
STEWARTWYNNE, EG