MARC details
| 000 -LEADER |
|---|
| fixed length control field |
04337nam a22005777a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
130912s20122012 xxu||||| |||| 00| 0 eng dOvid Technologies |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
1934-1482 |
| 040 ## - CATALOGING SOURCE |
|---|
| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
|---|
| PMID |
22244336 |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
Initial recovery trajectories among patients with hip fracture: a conceptual approach to exploring comparative effectiveness in postacute care. |
| 251 ## - Source |
|---|
| Source |
Pm & R. 4(4):264-72, 2012 Apr. |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
PM R. 4(4):264-72, 2012 Apr. |
| 253 ## - Journal Name |
|---|
| Journal name |
PM & R : the journal of injury, function, and rehabilitation |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2013-09-17 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSIONS: The IRT concept appears to be valid in patients with hip fracture who were treated with hip arthroplasty, and may assist in evaluating and comparing the effectiveness of postacute rehabilitation services. Copyright 2012 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
DESIGN: Analysis of multisite prospective observational cohort study database. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
MAIN OUTCOMES MEASUREMENTS: IRT grouping, Comprehensive Severity Index, FIM, discharge location, living location at follow-up. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
METHODS: Measurements included medical severity by using the Comprehensive Severity Index and functional levels by using Functional Independence Measure (FIM). The IRT was calculated for each patient as the rate of 130912 in function from the time of surgery to rehabilitation admission. We used cluster analysis to partition patients into subsets that shared common IRT scores. Validity was explored by comparing subgroups across patient characteristics and treatment patterns. Significance was defined as P <= .05. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
OBJECTIVE: To assess whether clusters of patients with hip fracture and with distinct initial recovery trajectories (IRT) could be identified by using practice-based evidence data and to examine the validity of these data. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
PATIENTS: Patients with hip fractures (N = 226) treated with joint replacement and admitted to skilled nursing or inpatient rehabilitation facilities, subset (n = 85), with telephone follow-up results approximately 8 months after rehabilitation discharge. Patients' ages were 76.8 +/- 11.4 years; the majority were women (78%) and white (87%). |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
RESULTS: We identified 3 patient clusters with differentiated IRT scores: group 1: 4.96 +/- 2.45 (range, 0.4-8.6) FIM point 130912 per day; group 2: 12.42 +/- 2.51 (range, 8.9-17.0); group 3: 26.80 +/- 13.78 (range, 17.5-70.0). Clinical group validation was established from statistically different Comprehensive Severity Index scores on admission; FIM scores at admission, discharge, and follow-up; and discharge and 8-month living settings. Calculation of IRT recovery curves by using FIM scores and associated time in days through logarithmic regression curves confirmed each group's IRT remained distinct through rehabilitation and follow-up. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
SETTING: Eighteen skilled nursing and inpatient rehabilitation facilities. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Hip Fractures/rh [Rehabilitation] |
| 9 (RLIN) |
344 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Hip Joint/ph [Physiology] |
| 9 (RLIN) |
346 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Recovery of Function |
| 9 (RLIN) |
349 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Rehabilitation Centers/sn [Statistics & Numerical Data] |
| 9 (RLIN) |
350 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
*Skilled Nursing Facilities/sn [Statistics & Numerical Data] |
| 9 (RLIN) |
351 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Aged, 80 and over |
| 9 (RLIN) |
36 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Aged |
| 9 (RLIN) |
2 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Arthroplasty, Replacement, Hip/rh [Rehabilitation] |
| 9 (RLIN) |
341 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Female |
| 9 (RLIN) |
7 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Follow-Up Studies |
| 9 (RLIN) |
342 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Hip Fractures/pp [Physiopathology] |
| 9 (RLIN) |
343 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Hip Fractures/su [Surgery] |
| 9 (RLIN) |
345 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Humans |
| 9 (RLIN) |
11 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Length of Stay/td [Trends] |
| 9 (RLIN) |
347 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Male |
| 9 (RLIN) |
14 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Patient Discharge/td [Trends] |
| 9 (RLIN) |
348 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Prospective Studies |
| 9 (RLIN) |
177 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Reproducibility of Results |
| 9 (RLIN) |
168 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
Treatment Outcome |
| 9 (RLIN) |
18 |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar National Rehabilitation Network |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Comparative Study |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Multicenter Study |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Research Support, Non-U.S. Gov't |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
DeJong, Gerben |
| 9 (RLIN) |
340 |
| 790 ## - Authors |
|---|
| All authors |
Aronow HU, DeJong G, Horn SD, Munin MC, Radnay CS, Sharkey P, Siebens HC, Smout RJ |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Journal article |
| Source of classification or shelving scheme |
Other/Generic Classification Scheme |
