Factors Associated With Home Visits in a 5-Year Study of Acute Respiratory Distress Syndrome Survivors.
Factors Associated With Home Visits in a 5-Year Study of Acute Respiratory Distress Syndrome Survivors.
复制标题
DOI：
10.4037/ajcc2020966
复制
发表时间：
2020-11-01
期刊：
影响因子：
--
通讯作者：
Dinglas VD
中科院分区：
文献类型：
--
作者：
Friedman LA;Young DL;Nelliot A;Colantuoni E;Mendez-Tellez PA;Needham DM;Dinglas VD
参与者保留对于纵向研究至关重要。家访可能会增加保留，但很少有人知道他们可能是有用的患者的子集。评估与家庭访视相关的患者相关变量。在一项对195名ARDS幸存者进行的为期5年的纵向多中心前瞻性研究中，在研究诊所进行了面对面评估;如果参与者无法参加诊所，则提供家访。使用多变量随机截距逻辑回归模型，我们评估了家庭访视和既往随访访视状态与基线和住院患者变量之间的相关性。在随后的回归模型调整这些变量，我们然后评估患者的出院后的临床状态与家访的关联。参与者的中位年龄为49岁，其中44%为女性，58%为白色。以下因素（调整的比值比; 95%置信区间）与家庭访视有独立关联：年龄（每年：1.03; 1.00，1.05）、既往不完整访视（2.46; 1.44，4.19）和既往家庭访视（8.24; 4.57，14.86）。在对既往访视状态和参与者的基线和住院变量进行调整后，以下住院后患者结局变量与随后的家庭访视相关：（≥2 vs <2依赖性：2.32; 1.29，4.17），EQ-5D效用评分（每减少0.1：1.15; 1.02，1.30）和6分钟步行距离（每减少10%预测距离百分比：1.50; 1.26，1.79）。家访对于留住年龄较大和身体受损的研究参与者很重要，有助于减少排除此类参与者的选择偏差。
Participant retention is vital for longitudinal studies. Home visits may increase retention, but little is known about which subset of patients they may be useful for. To evaluate patient-related variables associated with home visits. In a 5-year longitudinal multi-site prospective study of 195 ARDS survivors, in-person assessments were conducted at a research clinic; home visits were offered if participants could not attend the clinic. Using multivariable random-intercept logistic regression models, we evaluated the association between having a home visit and prior follow-up visit status and baseline and in-hospital patient variables. In a subsequent regression model adjusted for these variables, we then evaluated the association of the patient’s post-hospital clinical status with home visits. Participants had a median age of 49 years, were 44% female, and 58% white. The following (adjusted odds ratio; 95% confidence interval) had independent associations with home visits: age (per year: 1.03; 1.00, 1.05), prior incomplete visit (2.46; 1.44, 4.19), and prior home visit (8.24; 4.57, 14.86). After adjustment for prior visit status and participants’ baseline and hospitalization variables, the following post-hospital patient outcomes variables were associated with subsequent home visit: instrumental activities of daily living (≥2 vs <2 dependencies: 2.32; 1.29, 4.17), EQ-5D utility score (per 0.1 decrease: 1.15; 1.02, 1.30), and 6-minute walk distance (per 10% decrease in percent predicted distance: 1.50; 1.26, 1.79). Home visits were important for retaining study participants who were older and more physically impaired, helping reduce selection bias from excluding such participants.
登录
查看更多内容
影响因子：
8.8
作者：
Kelmenson DA;Held N;Allen RR;Quan D;Burnham EL;Clark BJ;Ho PM;Kiser TH;Vandivier RW;Moss M
通讯作者：
Moss M
影响因子：
8.8
作者：
Fan E;Dowdy DW;Colantuoni E;Mendez-Tellez PA;Sevransky JE;Shanholtz C;Himmelfarb CR;Desai SV;Ciesla N;Herridge MS;Pronovost PJ;Needham DM
通讯作者：
Needham DM
影响因子：
4.3
作者：
Haines, Kimberley J.;Quasim, Tara;McPeake, Joanne
通讯作者：
McPeake, Joanne
影响因子：
3.8
作者：
Coday, M;Boutin-Foster, C;Somes, GW
通讯作者：
Somes, GW
影响因子：
4.5
作者：
Aceituno, Anna M.;Stanhope, Kaitlyn K.;Leon, Juan S.
通讯作者：
Leon, Juan S.