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Journal articles on the topic 'Post-acute rehabilitation'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Brooks, Neil. "The effectiveness of post-acute rehabilitation." Brain Injury 5, no. 2 (1991): 103–9. http://dx.doi.org/10.3109/02699059109008082.

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2

Hawley, Carol, Carol Davies, John Stilwell, and Philippa Stilwell. "Post-acute rehabilitation after traumatic brain injury." British Journal of Therapy and Rehabilitation 7, no. 3 (2000): 116–22. http://dx.doi.org/10.12968/bjtr.2000.7.3.13894.

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3

McCarron, Louise, Sheena Egan, Geoffrey Yu, Grainne Forde, and Emma Nolan. "102FOSTERING COLLABORATION IN AMPUTEE REHABILITATION; ACUTE HOSPITAL, POST-ACUTE SPECIALIST REHABILITATION UNIT AND COMPLEX SPECIALIST REHABILITATION CENTRE." Age and Ageing 45, suppl 2 (2016): ii13.18—ii56. http://dx.doi.org/10.1093/ageing/afw159.116.

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4

Childers, M. K., J. Rupright, and D. W. Smith. "Post-traumatic hyperthermia in acute brain injury rehabilitation." Brain Injury 8, no. 4 (1994): 335–43. http://dx.doi.org/10.3109/02699059409150984.

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5

Kroll, Christine, and Thomas Fisher. "The congressional mandate: standardised post-acute care quality measures." International Journal of Therapy and Rehabilitation 26, no. 8 (2019): 1–10. http://dx.doi.org/10.12968/ijtr.2019.0028.

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Background/Aims This study describes the relationships between rehabilitation services intensity, post-acute care measures of Functional Performance Change, and length of stay for episodes of care provided in 93 skilled nursing facilities in the US. Methods The study used a secondary analysis of existing data on Medicare beneficiaries admitted to skilled nursing facilities from acute hospitals (n=518) who subsequently returned to the community. Data were selected from Minimum Data Set Section GG items reported by therapists. Results Statistically significant correlations were identified between rehabilitation services intensity and functional outcomes (P<0.001); and between rehabilitation intensity, medical condition, and length of stay (P<0.001) for rehabilitation patients in skilled nursing facilities. Conclusions The intensity of occupational and physical rehabilitation therapy services correlate with patients achieving higher functional outcomes, specifically improvement in self-care and mobility.
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6

Tung, Yu-Ju, Wen-Chih Lin, Lin-Fu Lee, Hong-Min Lin, Chung-Han Ho, and Willy Chou. "Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan." International Journal of Environmental Research and Public Health 18, no. 8 (2021): 4129. http://dx.doi.org/10.3390/ijerph18084129.

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Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the other received rehabilitation by therapists at home. To evaluate the health economics, we assessed the total medical expenditure on rehabilitation using the health system of Taiwan national health insurance and performed cost-effectiveness analyses using improvements of daily activity in stroke patients based on the Barthel index (BI). Total rehabilitative duration and functional recovery were also documented. The total rehabilitative cost was cheaper in the home-based PAC group (p < 0.001), and the cost-effectiveness is USD 152.474 ± USD 164.661 in the inpatient group, and USD 48.184 ± USD 35.018 in the home group (p < 0.001). Lesser rehabilitative hours per 1-point increase of BI score was noted in the home-PAC group with similar improvements in daily activities, life quality and nutrition in both groups. Home-based PAC is more cost-effective than inpatient PAC for stroke rehabilitation.
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7

Chesworth, Bert M., Mark Speechley, Kathleen Hartford, and Richard Crilly. "Relationship Between Acute Care Hospital-Based Factors and Discharge Destination for Rehabilitation Following a Hip Fracture." Canadian Journal on Aging / La Revue canadienne du vieillissement 21, no. 2 (2002): 187–94. http://dx.doi.org/10.1017/s0714980800001458.

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ABSTRACTHospitals may transfer seniors with a hip fracture to various rehabilitation settings. Knowing the relationship between hospital teaching status and post-acute rehabilitation setting may help evaluations of the transfer from acute care. The purpose of this study was to determine the relationship between hospital teaching status and rehabilitation destination following acute care in seniors with a hip fracture. Hospital separations were linked with home care records to identify hip fractures and hospital-based or home care rehabilitation (n = 806). Two logistic regression models determined the likelihood of transfer to any rehabilitation destination and to hospital-based versus home care rehabilitation. Teaching hospitals were no more likely than non-teaching hospitals to discharge patients to any rehabilitation (OR 1.20, 95% CI 0.88,1.65). However, among those referred to rehabilitation, the odds of discharge to hospital-based versus home care rehabilitation were almost four times greater for patients in teaching hospitals (OR 3.76, 95% CI 2.23, 6.37). The results are consistent with the availability of post-acute rehabilitation in the planning area. Future study of post-acute rehabilitation outcomes should consider hospital teaching status as an indicator of how hospital-based factors may affect the utilization of post-acute rehabilitation.
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8

Duncan, Pamela W., Ronnie D. Horner, Dean M. Reker, et al. "Adherence to Post-Acute Rehabilitation Guidelines Improves Functional Recovery in Stroke." Stroke 32, suppl_1 (2001): 333. http://dx.doi.org/10.1161/str.32.suppl_1.333-c.

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97 Purpose & Methods: To assess if compliance with post-stroke rehabilitation guidelines improves functional recovery. The design of the study was an inception cohort of stroke patients followed prospectively for 6 months. The setting was eleven Department of Veteran Affairs Medical Centers providing care to stroke patients. The subjects included 288 selected patients with stroke admitted between January 1998 - March 1999. Data were abstracted from medical records and telephone interviews. Primary outcome was the Functional Independence Motor Score (FIM). Secondary outcomes included Instrumental Activities of Daily Living (IADL), SF-36 physical functioning, and the Stroke Impact Scale (SIS). Acute and post-acute rehabilitation composite compliance scores (range 0–100) were derived from an algorithm. All outcomes were adjusted for case mix. Results: Average compliance scores in acute and post acute care settings were 68.2% (+ 14) and 69.5% (+ 14.4), respectively. After case-mix adjustment, level of compliance with post-acute rehabilitation guidelines was significantly associated with FIM motor, IADL, and the SIS physical domain scores. SF-36 physical function scores and mortality were not affected by compliance with post-acute rehabilitation guidelines. Level of compliance with rehabilitation guidelines in acute settings was unrelated to any of the outcome measures. Conclusion: Process of care in post-acute stroke rehabilitation affects 6-month functional recovery. Our findings support the use of guidelines as means of assessing quality of care and improving outcomes. These quality indicators are needed to ensure that quality of care is not comprised with new organizational and funding changes involving post-acute stroke care.
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9

Grill, E., R. Strobl, M. Müller, M. Quittan, N. Kostanjsek, and G. Stucki. "ICF Core Sets for early post-acute rehabilitation facilities." Journal of Rehabilitation Medicine 43, no. 2 (2011): 131–38. http://dx.doi.org/10.2340/16501977-0641.

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10

Wood, R. Ll, J. D. McCrea, L. M. Wood, and R. N. Merriman. "Clinical and cost effectiveness of post-acute neurobehavioural rehabilitation." Brain Injury 13, no. 2 (1999): 69–88. http://dx.doi.org/10.1080/026990599121746.

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11

Cowie, Aynsley, Janet McKay, and Alison Keenan. "Combined generic-specialist multimorbidity rehabilitation post acute cardiac event." British Journal of Cardiac Nursing 13, no. 7 (2018): 340–47. http://dx.doi.org/10.12968/bjca.2018.13.7.340.

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12

Powell, Theresa, Ellis Kalmus, Liz Wright, Jonathan Plumb, Rachel Atkins, and Renata Pantke. "Validation of a new measure for post-acute rehabilitation." International Journal of Therapy and Rehabilitation 12, no. 2 (2005): 63–71. http://dx.doi.org/10.12968/ijtr.2005.12.2.17457.

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13

Bode, Rita K., Allen W. Heinemann, Donna Zahara, and Linda Lovell. "Outcomes in Two Post-Acute Non-Inpatient Rehabilitation Settings." Topics in Stroke Rehabilitation 14, no. 1 (2007): 38–47. http://dx.doi.org/10.1310/tsr1401-38.

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14

Freburger, Janet K., George M. Holmes, Li-Jung E. Ku, Malcolm P. Cutchin, Kendra Heatwole-Shank, and Lloyd J. Edwards. "Disparities in post-acute rehabilitation care for joint replacement." Arthritis Care & Research 63, no. 7 (2011): 1020–30. http://dx.doi.org/10.1002/acr.20477.

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15

Lavie, Carl J., Richard V. Milani, and James A. Blumenthal. "Exercise, Cardiac Rehabilitation, and Post–Acute Coronary Syndrome Depression." JAMA Internal Medicine 174, no. 1 (2014): 165. http://dx.doi.org/10.1001/jamainternmed.2013.11112.

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16

Hershkovitz, Avital, Israel Dudkiewicz, and Shai Brill. "Rehabilitation outcome of post-acute lower limb geriatric amputees." Disability and Rehabilitation 35, no. 3 (2012): 221–27. http://dx.doi.org/10.3109/09638288.2012.690818.

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17

Hershkovitz, Avital, Riki Brown, Arie Burstin, and Shai Brill. "Measuring rehabilitation outcome in post-acute hip fractured patients." Disability and Rehabilitation 37, no. 2 (2014): 158–64. http://dx.doi.org/10.3109/09638288.2014.911968.

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18

Adams, Robert A., Mark Sherer, Margaret A. Struchen, and Todd G. Nick. "Post-acute brain injury rehabilitation for patients with stroke." Brain Injury 18, no. 8 (2004): 811–23. http://dx.doi.org/10.1080/02699050410001671810.

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19

Bhatnagar, Saurabha, Mary Alexis Iaccarino, and Ross Zafonte. "Pharmacotherapy in rehabilitation of post-acute traumatic brain injury." Brain Research 1640 (June 2016): 164–79. http://dx.doi.org/10.1016/j.brainres.2016.01.021.

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20

Polastri, Massimiliano. "Increasing Knowledge on Post-Acute Rehabilitation in COVID-19." Respiration 100, no. 9 (2021): 933–34. http://dx.doi.org/10.1159/000516783.

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21

Hicks, Stephanie A., and Verena R. Cimarolli. "The effects of telehealth use for post-acute rehabilitation patient outcomes." Journal of Telemedicine and Telecare 24, no. 3 (2016): 179–84. http://dx.doi.org/10.1177/1357633x16686771.

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Introduction Previous research has shown that home telehealth services can reduce hospitalisations and emergency department visits and improve clinical outcomes among older adults with chronic conditions. However, there is a lack of research on the impact of telehealth (TH) use on patient outcomes in post-acute rehabilitation settings. The current study examined the effects of TH for post-acute rehabilitation patient outcomes (i.e. discharge setting and change in functional independence) when controlling for other factors (e.g. cognitive functioning). Methods For this retrospective study, electronic medical records (EMRs) of 294 patients who were discharged from a post-acute rehabilitation unit at a skilled nursing facility were reviewed. Only patients with an admitting condition of a circulatory disease based on ICD-9 classification were included. Main EMR data extracted included use of TH, cognitive functioning, admission and discharge functional independence, and discharge setting (returning home vs. returning to acute care/re-hospitalisation). Results Results from a regression analysis showed that although TH use was unrelated to post-acute rehabilitation care transition, it was significantly related to change in functional independence. Patients who used TH during their stay had significantly more improvement in functional independence from admission to discharge when compared to those who did not use TH. Discussion Findings indicate that TH use during post-acute rehabilitation has the potential to improve patient physical functioning.
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22

Stucki, Gerold, T. Bedirhan Üstün, and John Melvin. "Applying the ICF for the acute hospital and early post-acute rehabilitation facilities." Disability and Rehabilitation 27, no. 7-8 (2005): 349–52. http://dx.doi.org/10.1080/09638280400013941.

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23

Abernathy, Bailey R., Lisa K. Schroder, Deborah C. Bohn, and Julie A. Switzer. "Low-Energy Pelvic Ring Fractures: A Care Conundrum." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932098540. http://dx.doi.org/10.1177/2151459320985406.

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Introduction: A need exists for improved care pathways for patients experiencing low-energy pelvic ring fractures. A review of the current literature was performed to understand the typical patient care and post-acute rehabilitation pathway within the US healthcare system. We also sought to summarize reported clinical outcomes worldwide. Significance: Low-energy pelvic ring fracture patients usually do not qualify for inpatient admission, yet they often require post-acute rehabilitative care. The Center for Medicare and Medicaid Services’ (CMS) 3-day rule is a barrier to obtaining financial coverage of this rehabilitative care. Results: Direct admission of some patients to post-acute care facilities has shown promise with decreased cost, improved patient outcomes, and increased patient satisfaction. Secondary fracture prevention programs may also improve outcomes for this patient population. Conclusions: Post-acute care innovation and secondary fracture prevention should be prioritized in the low-energy pelvic fragility fracture patient population. To demonstrate the effect and feasibility of these improved care pathways, further studies are necessary.
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24

Flanagan, Jane, Marie Boltz, and Ming Ji. "Post-Acute Rehabilitation in Persons With Dementia: Does It Make a Difference?" Innovation in Aging 4, Supplement_1 (2020): 189. http://dx.doi.org/10.1093/geroni/igaa057.611.

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Abstract Persons with dementia are about two times more likely to be hospitalized than their peers who are cognitively healthy. These individuals are frequently discharged to skilled nursing facilities or nursing home settings, to receive short-term, post-acute, rehabilitative care. The rehabilitative care, Physical Therapy (PT) and Occupational Therapy (OT), provided in skilled nursing facilities (SNFs) aims to restore the person to their pre-hospitalization functional status and assist the person to return home. This study used MDS assessment data of 6396 people, age 65 years and older with dementia, admitted to SNFs in 2013 from acute care hospitals in Massachusetts to assess the effects of OT and PT on the change in physical function of nursing home residents admitted to the nursing home after hospitalization. Multiple linear regression analyses. The sample was mostly female (64.1%), non-Hispanic (98.86%), and white (93.71%), with a mean age of 85.3 (SD=6.85). After controlling for age, gender, race and comorbidities, and delirium, rehabilitation interventions (OT, PT or OT+PT) did not have any significant effect on changes in physical function among residents with dementia (p for OT = 0.14; p for PT=0.59; p for OT+PT:= 0.32). Additionally, non-white residents had poorer function at three months (β =1.86, 95% CI:-3.57- -0.16). The results indicate for persons with dementia admitted to SNFs, OT, PT or OT+PT did not lead to a significant improvement physical function. More innovative and effective interventions should be developed to improve physical function in persons with dementia post-hospitalization.
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25

Worsowicz, Gregory M., and Reva Singh. "Post‐Acute Care Toolkit: An Introduction to a Comprehensive Guide on Post‐Acute Care Regulations." PM&R 11, no. 9 (2019): 1013–19. http://dx.doi.org/10.1002/pmrj.12201.

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26

Nobematsu, Ayumi, Hidetaka Wakabayashi, Takuya Hanada, Naoko Watanabe, and Kae Tachibana. "Post-acute Rehabilitation for Ataxia Associated with Acute Lithium Toxicity: A Case Report." Progress in Rehabilitation Medicine 3 (2018): n/a. http://dx.doi.org/10.2490/prm.20180010.

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27

Grill, Eva, Thomas Ewert, Somnath Chatterji, Nenad Kostanjsek, and Gerold Stucki. "ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities." Disability and Rehabilitation 27, no. 7-8 (2005): 361–66. http://dx.doi.org/10.1080/09638280400013974.

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28

Braunling-McMorrow, Debra, Stephen J. Dollinger, Melinda Gould, Tony Neumann, and Ryan Heiligenthal. "Outcomes of post-acute rehabilitation for persons with brain injury." Brain Injury 24, no. 7-8 (2010): 928–38. http://dx.doi.org/10.3109/02699052.2010.490518.

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29

Chittum, William R. "Missing out on post-acute rehabilitation: a single case example." NeuroRehabilitation 7, no. 3 (1996): 231–37. http://dx.doi.org/10.3233/nre-1996-7310.

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30

Stewart, Kimberly J., Shawn D. Gale, and Paul T. Diamond. "Early Assessment of Post-Stroke Patients Entering Acute Inpatient Rehabilitation." American Journal of Physical Medicine & Rehabilitation 81, no. 3 (2002): 223–28. http://dx.doi.org/10.1097/00002060-200203000-00011.

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31

Zweber, Barbara, and James Malec. "Goal Attainment Scaling in Post-Acute Outpatient Brain Injury Rehabilitation." Occupational Therapy In Health Care 7, no. 1 (1990): 45–53. http://dx.doi.org/10.1080/j003v07n01_05.

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32

Zweber, Barbara, and James Malec. "Goal Attainment Scaling in Post-Acute Outpatient Brain Injury Rehabilitation." Occupational Therapy In Health Care 7, no. 1 (1990): 45–53. http://dx.doi.org/10.1300/j003v07n01_05.

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33

Fiorentino, L., D. Saxbe, C. A. Alessi, D. L. Woods, and J. L. Martin. "Diurnal Cortisol and Functional Outcomes in Post-Acute Rehabilitation Patients." Journals of Gerontology Series A: Biological Sciences and Medical Sciences 67A, no. 6 (2012): 677–82. http://dx.doi.org/10.1093/gerona/glr230.

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34

Davidson, Karina W., Matthew M. Burg, Robert M. Carney, and Kenneth E. Freedland. "Exercise, Cardiac Rehabilitation, and Post–Acute Coronary Syndrome Depression—Reply." JAMA Internal Medicine 174, no. 1 (2014): 166. http://dx.doi.org/10.1001/jamainternmed.2013.11097.

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35

Gokkaya, Nilufer Kutay Ordu, Meltem Dalyan Aras, Oznur Oken, and Fusun Koseoglu. "FEVER DURING POST-ACUTE REHABILITATION IN PATIENTS WITH BRAIN INJURY." Journal of Rehabilitation Medicine 37, no. 2 (2005): 123–25. http://dx.doi.org/10.1080/16501970410001096.

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36

Duckett, Kit Malia, Stephane. "Establishing minimum recommended standards for post-acute brain injury rehabilitation." Brain Injury 15, no. 4 (2001): 357–62. http://dx.doi.org/10.1080/02699050010005319.

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37

Singh, Charan, Sarah Finley, Sharon Umphress, Craig Persel, and Grace S. Griesbach. "Outcome After Post-Acute Rehabilitation in Traumatic Brain Injury Patients." Archives of Physical Medicine and Rehabilitation 97, no. 10 (2016): e100. http://dx.doi.org/10.1016/j.apmr.2016.08.310.

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38

Chittum, W. "Missing out on post-acute rehabilitation: a single case example." Neurorehabilitation 7, no. 3 (1996): 231–37. http://dx.doi.org/10.1016/1053-8135(96)00197-7.

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39

Leung, Grace, Paul R. Katz, Jurgis Karuza, et al. "Slow Stream Rehabilitation: A New Model of Post-Acute Care." Journal of the American Medical Directors Association 17, no. 3 (2016): 238–43. http://dx.doi.org/10.1016/j.jamda.2015.10.016.

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40

Major, Kristof, Stefanie Monod, Christophe J. Bula, et al. "Unknown osteoporosis in older patients admitted to post-acute rehabilitation." Aging Clinical and Experimental Research 32, no. 6 (2019): 1145–52. http://dx.doi.org/10.1007/s40520-019-01302-7.

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41

Farmer, Janet E., and Robert G. Frank. "The brain injury rehabilitation scale (BIRS): A measure of change during post-acute rehabilitation." Brain Injury 2, no. 4 (1988): 323–31. http://dx.doi.org/10.3109/02699058809150903.

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42

Rakesh, Neal K., Daniel Boiarsky, Ammar Athar, Shaliesha Hinds, and Joel Stein. "Poster 28: Post-Stroke Rehabilitation: Factors Predicting Discharge to Acute versus Subacute Rehabilitation Facilities." PM&R 10 (September 2018): S19. http://dx.doi.org/10.1016/j.pmrj.2018.08.067.

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43

Frengley, J. Dermot, Giorgio R. Sansone, Augusta Alba, Kiranjit Uppal, and Jay Kleinfeld. "Influence of Age on Rehabilitation Outcomes and Survival in Post-Acute Inpatient Cardiac Rehabilitation." Journal of Cardiopulmonary Rehabilitation and Prevention 31, no. 4 (2011): 230–38. http://dx.doi.org/10.1097/hcr.0b013e318207d314.

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44

Namerow, N. S., and D. Forney. "Traumatic Brain Injury: Post-Acute Management." Neurorehabilitation and Neural Repair 4, no. 4 (1990): 193–201. http://dx.doi.org/10.1177/136140969000400404.

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45

Wong, Carin, Jenny Martinez, Brenda Fagan, and Natalie E. Leland. "Understanding Communication Between Rehabilitation Practitioners and Nurses: Implications for Post-Acute Care Quality." Journal of Applied Gerontology 39, no. 7 (2018): 795–802. http://dx.doi.org/10.1177/0733464818794148.

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Objective: This study examined post-acute care (PAC) rehabilitation practitioner’s perspectives on communication. Method: This is a secondary data analysis of a larger qualitative study, which included PAC rehabilitation provider ( n = 99) focus groups that were held in a purposive sample of 13 skilled nursing facilities (SNFs). Results: Participants emphasized the importance of bidirectional communication between rehabilitation and nursing. Three themes were identified: (a) communication between rehabilitation practitioners and registered nurses or licensed practical nurses, (b) communication between rehabilitation practitioners and certified nursing assistants, and (c) communication between rehabilitation practitioners and nursing leaders. Two subthemes within each of the three themes were further characterized to understand how information was exchanged: (a) static communication and (b) action-oriented communication. Conclusion: Our findings highlight opportunities for better communication in PAC between rehabilitation practitioners and nursing and thus lay a foundation for future efforts to improve care coordination through enhancing interdisciplinary communication.
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46

Pinto, Monica, Francesca Gimigliano, Stefania De Simone, Massimo Costa, Attilio A. M. Bianchi, and Giovanni Iolascon. "Post-Acute COVID-19 Rehabilitation Network Proposal: From Intensive to Extensive and Home-Based IT Supported Services." International Journal of Environmental Research and Public Health 17, no. 24 (2020): 9335. http://dx.doi.org/10.3390/ijerph17249335.

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Management of COVID-19 post-acute syndrome is an emerging health issue in rehabilitation. This article aims to present a proposal, based on the principles of clinical governance, health management and information technology (IT), and to respond to the need for a structured organization model for post-acute COVID-19 rehabilitation. The authors present a regional-based model of a network of clinicians and healthcare managers using a dedicated IT platform to achieve both effectiveness and efficiency objectives, to ensure coordination of the available resources and the most appropriate rehabilitative treatment for patients. The proposed post-acute COVID-19 rehabilitation network has been designed according to the model of a clinical management project within the Italian national healthcare system, and its context is an easily adjustable model for the European healthcare systems. The authors base the project on current laws and scientific guidelines in rehabilitation in Italy and in Europe and use the SWOT analysis technique to assess the proposal feasibility. The primary aims of the project are: (1) standardizing the minimum assessment tools of post-COVID-19 patients with disabilities; (2) ensuring an individual rehabilitation project for each patient with international classification of functioning, disability and health (ICF) coding and (3) reporting the activity performance with appropriate indicators. The secondary aims are: (1) developing educational programs for patients and care givers also aimed at acquiring better empowerment and positive behavior; (2) creating a regional database for data collection and (3) improving IT, and specifically tele-rehabilitation, as a suitable approach during the COVID-19 emergency and also in the future. Expected results are: continuum of care; effectiveness, efficacy and appropriateness in the delivery of rehabilitation treatments through a standardized minimum assessment and the wording of the individual rehabilitation project and a precise reporting of performance indicators to measure the effectiveness of clinical activities and the satisfaction of patients and caregivers. The assessment of results will be analyzed at three and six months to implement corrective actions according to the concept of continuous improvement of the Deming cycle. The IT remote approach allows the patient to meet the needs of proximity of care and empowerment, and, at the same time, to contain the spread of infection. This project could have a significant healthcare impact ensuring a more efficient and effective management of the demand of rehabilitation post-acute COVID-19, expanding the professional skills of the rehabilitation team members, improving both clinical and process data, in addition to optimal allocation of available economic resources.
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47

Walters, Rosy, Janice M. Collier, Lillian Braighi Carvalho, et al. "Exploring post acute rehabilitation service use and outcomes for working age stroke survivors (≤65 years) in Australia, UK and South East Asia: data from the international AVERT trial." BMJ Open 10, no. 6 (2020): e035850. http://dx.doi.org/10.1136/bmjopen-2019-035850.

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ObjectivesInformation about younger people of working age (≤65 years), their post stroke outcomes and rehabilitation pathways can highlight areas for further research and service change. This paper describes: (1) baseline demographics; (2) post acute rehabilitation pathways; and (3) 12-month outcomes; disability, mobility, depression, quality of life, informal care and return to work of working age people across three geographic regions (Australasia (AUS), South East (SE) Asia and UK).DesignThis post hoc descriptive exploration of data from the large international very early rehabilitation trial (A Very Early Rehabilitation Trial (AVERT)) examined the four common post acute rehabilitation pathways (inpatient rehabilitation, home with community rehabilitation, inpatient rehabilitation then community rehabilitation and home with no rehabilitation) experienced by participants in the 3 months post stroke and describes their 12-month outcomes.SettingHospital stroke units in AUS, UK and SE Asia.ParticipantsPatients who had an acute stroke recruited within 24 hours who were ≤65 years.Results668 participants were ≤65 years; 99% lived independently, and 88% no disability (modified Rankin Score (mRS)=0) prior to stroke. We had complete data for 12-month outcomes for n=631 (94%). The proportion receiving inpatient rehabilitation was higher in AUS than other regions (AUS 52%; UK 25%; SE Asia 23%), whereas the UK had higher community rehabilitation (UK 65%; AUS 61%; SE Asia 39%). At 12 months, 70% had no or little disability (mRS 0–2), 44% were depressed, 28% rated quality of life as poor or worse than death. For those working prior to stroke (n=228), only 57% had returned to work. A noteworthy number of working age survivors received no rehabilitation services within 3 months post stroke.ConclusionsThere was considerable variation in rehabilitation pathways and post acute service use across the three regions. At 12 months, there were high rates of depression, poor quality of life and low rates of return to work.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12606000185561).
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Inbar, G., J. P. Wallace, and J. M. Stager. "ACUTE POST-EXERCISE BLOOD PRESSURE RESPONSE IN BORDERLINE HYPERTENSION." Journal of Cardiopulmonary Rehabilitation 12, no. 5 (1992): 364. http://dx.doi.org/10.1097/00008483-199209000-00067.

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Roca, Mihai, Magda Mitu, Radu-Sebastian Gavril, Maria-Magdalena Leon Constantin, Iulia-Cristina Roca, and Florin Mitu. "Cardiopulmonary exercise testing in cardiovascular rehabilitation of post-myocardial infarction patients." Romanian Journal of Cardiology 30, no. 1 (2020): 67–72. http://dx.doi.org/10.47803/rjc.2020.30.1.67.

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Cardiovascular rehabilitation represents a very important measure in post myocardial infarction patients for both, improving their quality of life and preventing other acute cardiovascular events. It is important to accurately assess functional capacity of patients after acute coronary events, in order to optimize the results of cardiac rehabilitation program. Cardiopulmonary exercise testing (CPET) represents the gold standard in functional capacity assessment. We present 3 clinical cases of post STEMI patients, with coronary revascularization interventions, addressed to cardiovascular rehabilitation. They underwent CPET evaluation at baseline and during rehabilitation program. This method proved important utility for individualization of cardiovascular rehabilitation program, as well as for monitoring the long term evolution after myocardial infarction.
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Chang, Feng-Hang, Yen-Nung Lin, and Tsan-Hon Liou. "Predicting the Need for Post-Acute Inpatient Rehabilitation of Acute Stroke Patients in Taiwan." Archives of Physical Medicine and Rehabilitation 101, no. 11 (2020): e6. http://dx.doi.org/10.1016/j.apmr.2020.09.014.

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