The effectiveness of inpatient rehabilitation in the acute postoperative phase of care after transtibial or transfemoral amputation: study of an integrated health care delivery system.
The effectiveness of inpatient rehabilitation in the acute postoperative phase of care after transtibial or transfemoral amputation: study of an integrated health care delivery system.
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DOI：
10.1016/j.apmr.2008.03.013
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发表时间：
2008-10
影响因子：
4.3
通讯作者：
Reker, Dean M.
中科院分区：
文献类型：
--
作者：
Stineman, Margaret G.;Kwong, Pui L.;Kurichi, Jibby E.;Prvu-Bettger, Janet A.;Vogel, W. Bruce;Maislin, Greg;Bates, Barbara E.;Reker, Dean M.
关键词：
Stineman MG，Kwong PL，Kurichi JE，Prvu-Bettger JA，Vogel WB，Maislin G，Bates BE，Reker DM.经胫骨或经股截肢术后急性术后护理阶段住院患者康复的有效性：综合医疗保健提供系统的研究。Arch Phys Med Rehabil 2008;89：1863-72.比较在大型综合医疗保健提供系统中接受和不接受急性术后住院康复治疗的下肢截肢者的结局。采用多变量倾向评分风险调整减少治疗选择偏倚的观察性研究。数据来自退伍军人事务医疗中心的9个行政数据库。一项在2002年10月1日至2004年9月30日期间接受经胫骨或经股截肢术的退伍军人（N=2673）的国家队列研究。不适用因1年累积生存率、出院回家和术后第1年内的假肢采购。在减少选择偏倚后，与没有住院康复证据的患者相比，接受急性术后住院康复的患者1年生存率（比值比[OR]=1.51; 95%置信区间[CI]，1.26-1.80）和出院回家（OR=2.58; 95% CI，2.17-3.06）的可能性增加。两组之间的假肢采购没有显著差异。在急性术后住院期间接受康复治疗与1年生存率和出院回家的可能性更大相关。结果支持截肢术后早期住院康复。
Stineman MG, Kwong PL, Kurichi JE, Prvu-Bettger JA, Vogel WB, Maislin G, Bates BE, Reker DM. The effectiveness of inpatient rehabilitation in the acute postoperative phase of care after transtibial or transfemoral amputation: study of an integrated health care delivery system. Arch Phys Med Rehabil 2008;89:1863-72. To compare outcomes between lower-extremity amputees who receive and do not receive acute postoperative inpatient rehabilitation within a large integrated health care delivery system. An observational study using multivariable propensity score risk adjustment to reduce treatment selection bias. Data compiled from 9 administrative databases from Veterans Affairs Medical Centers. A national cohort of veterans (N=2673) who underwent transtibial or transfemoral amputation between October 1, 2002, and September 30, 2004. Not applicable. One-year cumulative survival, home discharge from the hospital, and prosthetic limb procurement within the first postoperative year. After reducing selection bias, patients who received acute postoperative inpatient rehabilitation compared to those with no evidence of inpatient rehabilitation had an increased likelihood of 1-year survival (odds ratio [OR]=1.51; 95% confidence interval [CI], 1.26–1.80) and home discharge (OR=2.58; 95% CI, 2.17–3.06). Prosthetic limb procurement did not differ significantly between groups. The receipt of rehabilitation in the acute postoperative inpatient period was associated with a greater likelihood of 1-year survival and home discharge from the hospital. Results support early postoperative inpatient rehabilitation following amputation.
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DOI：
10.1097/01.phm.0000154899.49528.05
发表时间：
2005-03-01
影响因子：
3
作者：
Dillingham, TR;Pezzin, LE
通讯作者：
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DOI：
10.1053/s0003-9993(03)00291-0
发表时间：
2003-11-01
影响因子：
4.3
作者：
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通讯作者：
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影响因子：
3
作者：
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通讯作者：
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影响因子：
120.7
作者：
Kramer, AM;Steiner, JF;Eckhoff, DG
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Eckhoff, DG
DOI：
10.2307/3348969
发表时间：
1966-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
DONABEDIAN, A
通讯作者：
DONABEDIAN, A