The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform
Steven M. Lewis - One of the best experts on this subject based on the ideXlab platform.
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The effect of surveillance definitions on nosocomial urinary tract infection rates in a Rehabilitation Hospital.
Infection control and hospital epidemiology, 1995Co-Authors: Steven M. LewisAbstract:This article presents original research findings to illustrate the influence of surveillance definitions on infection rate. Several definitions for urinary tract infection were applied to clinical and laboratory data from Rehabilitation Hospital patients, and the effect on sensitivity and specificity examined. We demonstrate that it is essential to take into account the influence of the surveillance definition when interpreting surveillance data, and the importance of ensuring that the surveillance definition is compatible with the surveillance objectives when selecting a definition. Surveillance definitions that serve well in one surveillance program may not serve well in another.
Trena Burke - One of the best experts on this subject based on the ideXlab platform.
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Patient transfer from a Rehabilitation Hospital to an emergency department : A retrospective study of an American trauma center
Annals of physical and rehabilitation medicine, 2014Co-Authors: La Vonne A. Downey, Leslie S. Zun, Trena BurkeAbstract:Abstract Objective To analyze medical indications and conditions for patients transferred from a Rehabilitation Hospital to an emergency department (ED). Are there differences in terms of which patients go to the ED during their stay and which do not? Specifically, what type of patient is most likely to be transferred? Methodology A retrospective study was conducted at an American adult and pediatric urban trauma center that serves 40,000 patients per year. This study compared randomly selected samples of 534 patients having been transferred to the ED from a Rehabilitation Hospital and 500 patients who were directly admitted to the ED from the community. Variables examined were: demographics, ED diagnosis and level of care, length of Hospital stay, costs, discharge condition and return within 60 days to the ED. Results The patients transferred from the Rehabilitation Hospital were older ( P P P P P P Conclusions The patients transferred from a Rehabilitation Hospital had complex, intense medical (and often psychological) issues. These patients’ medical needs required a high level of resources in the ED. They frequently left the Hospital in sub-optimal conditions, making it likely that they would return to the Hospital via the ED prior to completing their treatment within the Rehabilitation Hospital.
Avraam Ploumis - One of the best experts on this subject based on the ideXlab platform.
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length of stay and medical stability for spinal cord injured patients on admission to an inpatient Rehabilitation Hospital a comparison between a model sci trauma center and non sci trauma center
Spinal Cord, 2011Co-Authors: Avraam Ploumis, S Kolli, M Patrick, M Owens, Alexander Beris, Ralph J MarinoAbstract:Length of stay and medical stability for spinal cord-injured patients on admission to an inpatient Rehabilitation Hospital: a comparison between a model SCI trauma center and non-SCI trauma center
Coralie English - One of the best experts on this subject based on the ideXlab platform.
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additional weekend therapy may reduce length of Rehabilitation stay after stroke a meta analysis of individual patient data
Journal of Physiotherapy, 2016Co-Authors: Coralie English, Nora Shields, Natasha K Brusco, Nicholas F Taylor, Jennifer J Watts, Casey L Peiris, Julie BernhardtAbstract:Abstract Questions: Among people receiving inpatient Rehabilitation after stroke, does additional weekend physiotherapy and/or occupational therapy reduce the length of Rehabilitation Hospital stay compared to those who receive a weekday-only service, and does this change after controlling for individual factors? Does additional weekend therapy improve the ability to walk and perform activities of daily living, measured at discharge? Does additional weekend therapy improve health-related quality of life, measured 6 months after discharge from Rehabilitation? Which individual, clinical and Hospital characteristics are associated with shorter length of Rehabilitation Hospital stay? Design: This study pooled individual data from two randomised, controlled trials (n=350) using an individual patient data meta-analysis and multivariate regression. Participants: People with stroke admitted to inpatient Rehabilitation facilities. Intervention: Additional weekend therapy (physiotherapy and/or occupational therapy) compared to usual care (5 days/week therapy). Outcome measures: Length of Rehabilitation Hospital stay, independence in activities of daily living measured with the Functional Independence Measure, walking speed and health-related quality of life. Results: Participants who received weekend therapy had a shorter length of Rehabilitation Hospital stay. In the un-adjusted analysis, this was not statistically significant (MD –5.7 days, 95% CI –13.0 to 1.5). Controlling for Hospital site, age, walking speed and Functional Independence Measure score on admission, receiving weekend therapy was significantly associated with a shorter length of Rehabilitation Hospital stay (β=7.5, 95% CI 1.7 to 13.4, p =0.001). There were no significant between-group differences in Functional Independence Measure scores (MD 1.9 points, 95% CI –2.8 to 6.6), walking speed (MD 0.06 m/second, 95% CI –0.15 to 0.04) or health-related quality of life (SMD –0.04, 95% CI –0.26 to 0.19) at discharge. Discussion: Modest evidence indicates that additional weekend therapy might reduce Rehabilitation Hospital length of stay. Clinical Trial Registration: ACTRN12610000096055, ACTRN12609000973213. [English C, Shields N, Brusco NK, Taylor NF, Watts JJ, Peiris C, et al. (2016) Additional weekend therapy may reduce length of Rehabilitation stay after stroke: a meta-analysis of individual patient data. Journal of Physiotherapy 62: 124–129]
La Vonne A. Downey - One of the best experts on this subject based on the ideXlab platform.
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Patient transfer from a Rehabilitation Hospital to an emergency department : A retrospective study of an American trauma center
Annals of physical and rehabilitation medicine, 2014Co-Authors: La Vonne A. Downey, Leslie S. Zun, Trena BurkeAbstract:Abstract Objective To analyze medical indications and conditions for patients transferred from a Rehabilitation Hospital to an emergency department (ED). Are there differences in terms of which patients go to the ED during their stay and which do not? Specifically, what type of patient is most likely to be transferred? Methodology A retrospective study was conducted at an American adult and pediatric urban trauma center that serves 40,000 patients per year. This study compared randomly selected samples of 534 patients having been transferred to the ED from a Rehabilitation Hospital and 500 patients who were directly admitted to the ED from the community. Variables examined were: demographics, ED diagnosis and level of care, length of Hospital stay, costs, discharge condition and return within 60 days to the ED. Results The patients transferred from the Rehabilitation Hospital were older ( P P P P P P Conclusions The patients transferred from a Rehabilitation Hospital had complex, intense medical (and often psychological) issues. These patients’ medical needs required a high level of resources in the ED. They frequently left the Hospital in sub-optimal conditions, making it likely that they would return to the Hospital via the ED prior to completing their treatment within the Rehabilitation Hospital.
