Does the presence of a specialized rehabilitation unit in a veterans affairs facility impact referral for rehabilitative care after a lower-extremity amputation?
Does the presence of a specialized rehabilitation unit in a veterans affairs facility impact referral for rehabilitative care after a lower-extremity amputation?
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DOI：
10.1016/j.apmr.2007.06.018
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发表时间：
2007-10-01
影响因子：
4.3
通讯作者：
Stineman, Margaret G.
中科院分区：
文献类型：
--
作者：
Bates, Barbara E.;Kurichi, Jibby E.;Stineman, Margaret G.
目的：为了确定是否存在专门的康复单位（SRUs）内退伍军人事务部医疗中心（VAMC）影响获得康复services.Design：回顾性队列analysis.Setting：两种类型的VAMC：那些有和没有SRUs.Participants：退伍军人下肢截肢出院VAMC之间2002年10月1日，2003年9月30日。共有2375名退伍军人截肢：99%是男性; 60%是经胫骨截肢，40%是经股骨截肢，不到1%是髋关节离断截肢。966名患者（41%）在VAMC与SRU一起就诊。干预措施：不适用。主要结果测量：提供的服务水平表示为：住院期间没有康复证据，仅通过咨询进行一般康复，或入住SRU。结果：在有SRU床位的机构治疗的患者和在没有SRU床位的机构治疗的患者在年龄、性别、婚姻状况、入院来源或截肢水平（均P
Objective: To determine if the presence of specialized rehabilitation units (SRUs) within Veterans Affairs medical centers (VAMC) influences access to rehabilitation services.Design: Retrospective cohort analysis.Setting: Two types of VAMCs: those with and without SRUs.Participants: Veterans with lower-extremity amputations discharged from VAMCs between October 1, 2002, and September 30, 2003. There were a total of 2375 veterans with amputations: 99% were men; and 60% had transtibial, 40% had transfemoral, and less than 1% had hip disarticulation amputations. Nine hundred sixty-six patients (41%) were seen at a VAMC with an SRU.Interventions: Not applicable.Main Outcome Measure: Level of service provided expressed as: no evidence of rehabilitation during the hospitalization, generalized rehabilitation through consultation only, or admission to an SRU.Results: There were no differences between patients treated at facilities with SRUs and those treated in a facility without SRU beds with respect to age, sex, marital status, source of hospital admission, or level of amputation (all P