Rehabilitation Therapy Allocation and Changes in Physical Function Among Patients Hospitalized Due to COVID-19: A Retrospective Cohort Analysis
| العنوان: | Rehabilitation Therapy Allocation and Changes in Physical Function Among Patients Hospitalized Due to COVID-19: A Retrospective Cohort Analysis |
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| المؤلفون: | Michelle R Rauzi, Kyle J Ridgeway, Melissa P Wilson, Sarah E Jolley, Amy Nordon-Craft, Jennifer E Stevens-Lapsley, Kristine M Erlandson |
| المصدر: | Physical Therapy. 103 |
| بيانات النشر: | Oxford University Press (OUP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Physical Therapy, Sports Therapy and Rehabilitation |
| الوصف: | Objective Limited staffing and initial transmission concerns have limited rehabilitation services during the COVID-19 pandemic. The purpose of this analysis was to determine the associations between Activity Measure for Post-Acute Care (AM-PAC) mobility categories and allocation of rehabilitation, and in-hospital AM-PAC score change and receipt of rehabilitation services for patients with COVID-19. Methods This was a retrospective cohort study of electronic health record data from 1 urban hospital, including adults with a COVID-19 diagnosis, admitted August 2020 to April 2021. Patients were stratified by level of medical care (intensive care unit [ICU] and floor). Therapy allocation (referral for rehabilitation, receipt of rehabilitation, and visit frequency) was the primary outcome; change in AM-PAC score was secondary. AM-PAC Basic Mobility categories (None [21–24], Minimum [18–21], Moderate [10–17], and Maximum [6–9]) were the main predictor variable. Primary analysis included logistic and linear regression, adjusted for covariates. Results A total of 1397 patients (ICU: n = 360; floor: n = 1037) were included. AM-PAC mobility category was associated with therapy allocation outcomes for floor but not patients in the ICU: the Moderate category had greater adjusted odds of referral (adjusted odds ratio [aOR] = 10.88; 95% CI = 5.71–21.91), receipt of at least 1 visit (aOR = 3.45; 95% CI = 1.51–8.55), and visit frequency (percentage mean difference) (aOR = 42.14; 95% CI = 12.45–79.67). The secondary outcome of AM-PAC score improvement was highest for patients in the ICU who were given at least 1 rehabilitation therapy visit (aOR = 5.31; 95% CI = 1.90–15.52). Conclusion AM-PAC mobility categories were associated with rehabilitation allocation outcomes for floor patients. AM-PAC score improvement was highest among patients requiring ICU-level care with at least 1 rehabilitation therapy visit. Impact Use of AM-PAC Basic Mobility categories may help improve decisions for rehabilitation therapy allocation among patients who do not require critical care, particularly during times of limited resources. |
| تدمد: | 1538-6724 0031-9023 |
| DOI: | 10.1093/ptj/pzad007 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::4e004a384f90b79581988174c3242401 https://doi.org/10.1093/ptj/pzad007 |
| Rights: | EMBARGO |
| رقم الانضمام: | edsair.doi...........4e004a384f90b79581988174c3242401 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15386724 00319023 |
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| DOI: | 10.1093/ptj/pzad007 |