Association of Admission Functional Status and Assistive Device Provision for Veterans Poststroke: A Retrospective Study.
Association of Admission Functional Status and Assistive Device Provision for Veterans Poststroke: A Retrospective Study.
复制标题
退伍军人中风后入院功能状态和辅助器具供应协会：回顾性研究。
DOI：
10.1097/phm.0000000000000997
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发表时间：
2018
影响因子：
3
通讯作者：
Feng,Hua
中科院分区：
文献类型：
--
作者：
Winkler,SandraL;Kairalla,JohnA;Feng,Hua
ObjectivesThe aims of the study were（a）to provide knowledge about the provision of assistive devices in practice and（B）to describe the challenges of standardizing device provision.DesignThis is a retrospective study using Department of Veteran Affairs National Prosthetic Patient Database and other administrative databases.该队列包括2007-2008财政年度退伍军人健康管理局治疗中风的所有退伍军人。描述性方法被用来分析数据，重点检查设备供应和电机和认知功能之间的关系，使用功能独立性测量scores.ResultsA共8374退伍军人治疗中风和接收至少一个辅助设备。接受标准或护理人员控制的轮椅的人往往年龄较大，而接受超轻型或护理人员控制的轮椅的人的西班牙裔比例高于整个队列。接受任何类型轮椅的退伍军人的运动，认知和总功能评分低于整个队列。退伍军人谁收到手杖有最高的功能。退伍军人患者谁收到病人升降机和病床有较低的认知得分相比，整体cohol.ConclusionsFunctional状态可以提供一些客观性，主要是主观的辅助设备提供决策过程，但是，许多其他因素必须同时考虑，复杂的努力，标准化的规定。
ObjectivesThe aims of the study were (a) to provide knowledge about the provision of assistive devices in practice and (b) to describe the challenges of standardizing device provision.DesignThis is a retrospective study using Department of Veteran Affairs National Prosthetic Patient Database and other administrative databases. The cohort included all veterans treated by the Veterans Health Administration for stroke during fiscal years 2007–2008. Descriptive methods were used to analyze data with emphasis on inspecting relationships between device provision and motor and cognitive function using Functional Independence Measure scores.ResultsA total of 8374 veterans treated for stroke and receiving at least one assistive device are included. Individuals who received standard or caregiver controlled wheelchairs tended to be older, and those who received ultralight or caregiver controlled wheelchairs had a higher proportion of Hispanics than the overall cohort. Veterans who received any type of wheelchair had lower motor, cognitive, and total functioning scores than the cohort as a whole. Veterans who received canes had the highest functioning. Veteran patients who received patient lifts and beds had lower cognitive scores compared with the overall cohort.ConclusionsFunctional status can provide some objectivity to the largely subjective assistive device provision decision-making process; however, many other factors must be considered simultaneously, complicating efforts to standardize provision.