Article
Geriatrics & Gerontology
Cristina A. Shea, Razvan Turcu, Bonny S. Wong, Michelle E. Brassil, Chloe S. Slocum, Richard Goldstein, Ross D. Zafonte, Shirley L. Shih, Jeffrey C. Schneider
Summary: The study found that nearly 8.7% of patients were readmitted to ACH within 30 days of rehabilitation at IRFs. A total of 15 factors related to patients and facilities collectively influenced the readmission rate, highlighting the importance of considering these factors when comparing readmission rates between IRFs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Rehabilitation
Guy Shtar, Lior Rokach, Bracha Shapira, Ran Nissan, Avital Hershkovitz
Summary: The study utilized machine learning methods to create a predictive model of rehabilitation outcomes for postacute hip fracture patients. The results showed that machine learning models outperformed linear and logistic regression models in predicting rehabilitation outcomes, and the confidence levels of predicted parameters were associated with MMSE, prefracture mFIM, and admission FIM scores.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Geriatrics & Gerontology
Tawnee L. Sparling, Erika T. Yih, Richard Goldstein, Chloe S. Slocum, Colleen M. Ryan, Ross Zafonte, Jeffrey C. Schneider
Summary: This study aimed to develop a risk calculator to predict all-cause readmissions within 30 days from the inpatient rehabilitation facility (IRF) setting. The study used a retrospective database analysis to assess the impact of various clinical and demographic variables on readmission rates and developed a risk scoring system for different impairment groups. The results showed that the models had good calibration and high discrimination, which is important for identifying high-risk populations for readmission and optimizing resource allocation.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Multidisciplinary Sciences
Juan F. Blanco, Carmen da Casa, Carmen Pablos-Hernandez, Alfonso Gonzalez-Ramirez, Jose Miguel Julian-Enriquez, Agustin Diaz-Alvarez
Summary: This study analyzed factors related to early 30-day mortality in patients over 65 undergoing hip fracture surgery. The results showed that both preoperative and postoperative factors have a significant impact on mortality rate after hip fracture surgery. Postoperative factors, though previously unidentified or quantified, play a crucial role in influencing 30-day mortality.
Article
Cardiac & Cardiovascular Systems
Chun Shing Kwok, Dmitry Abramov, Purvi Parwani, Raktim K. Ghosh, Michelle Kittleson, Fozia Z. Ahmad, Fakhr Al Ayoubi, Harriette G. C. Van Spall, Mamas A. Mamas
Summary: This study evaluated the costs associated with inpatient heart failure care in the US, indicating significant financial burdens with comorbidities, invasive procedures, and readmissions being major contributors to inpatient costs.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2021)
Article
Orthopedics
Michael K. Tram, Casey M. O'Connor, Alex S. Qian, Jennifer T. Tram, Matthew W. Tetreault
Summary: This study evaluated the impact of frailty on postoperative events and costs in total hip arthroplasty (THA). The results showed that frail patients had increased readmission rates, longer hospital stays, and higher healthcare costs within 30 days. In addition, frail patients had higher rates of complications and reoperations.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Patawut Bovonratwet, Aaron Z. Chen, Tony S. Shen, Nathaniel T. Ondeck, Wasif Islam, Michael P. Ast, Edwin P. Su
Summary: The study showed a low rate of 30-day readmission after outpatient THA, with older age and bleeding disorders being risk factors for readmission. Some patients may benefit from an inpatient hospital stay to reduce the risk.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Jeffrey M. Bair, Kristin O'Mara Gardner, Jason C. Tank, Gregory M. Georgiadis, Roberta E. Redfern
Summary: The study found a 90-day readmission rate of nearly 20% in geriatric fragility fracture patients. The application of BCPI definitions linked more readmissions to the index surgical event than previously thought. Further investigation into the risk factors for readmission in this population is needed in light of bundled payment models.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Rehabilitation
Nikhil K. Prasad, Rashmita Bajracharya, Marniker Wijesinha, Alan Rathbun, Denise Orwig, Laurence Magder, Ann Gruber-Baldini, Kathleen Mangione, Rebecca L. Craik, Jay Magaziner
Summary: This study compares participants from two different studies and finds that home-based multi-component physical therapy programs can provide better functional improvement after hip fracture compared to usual care.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Health Care Sciences & Services
Yang Cao, Maximilian Peter Forssten, Ahmad Mohammad Ismail, Tomas Borg, Ioannis Ioannidis, Scott Montgomery, Shahin Mohseni
Summary: This study explored the predictive ability of preoperative characteristics in traumatic hip fracture patients for 30-day postoperative mortality, finding age, hypertension, dementia, sex, ASA classification, and RCRI to be the most important predictors. Both LR and CNN models showed acceptable performance in identifying patients at risk of mortality following surgery for hip fracture.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Geriatrics & Gerontology
Aicha Goubar, Finbarr C. Martin, Catherine Sackley, Nadine E. Foster, Salma Ayis, Celia L. Gregson, Ian D. Cameron, Nicola E. Walsh, Katie J. Sheehan
Summary: The stratify-hip algorithm was developed and validated to predict the risk of in-hospital death, 30-day death, and residence change after hip fracture. The algorithm demonstrated good calibration and discrimination, and categorized patients into low, medium, and high-risk groups. This algorithm provides a new tool for risk stratification of patients with hip fracture.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Clinical Neurology
Negar Darabi, Niyousha Hosseinichimeh, Anthony Noto, Ramin Zand, Vida Abedi
Summary: The study successfully developed models using machine learning algorithms and structured data to predict 30-day readmission after stroke, with important clinical variables including NIH Stroke Scale score and indwelling urinary catheter. By optimizing with specific sampling strategies and feature selection, the models achieved a balance between specificity and sensitivity.
FRONTIERS IN NEUROLOGY
(2021)
Article
Health Care Sciences & Services
Sojune Hwang, Chiwon Ahn, Moonho Won
Summary: We conducted an updated meta-analysis to evaluate the 30-day mortality of hip fractures during the COVID-19 pandemic, finding that the mortality rate increased and varied by country, with higher rates in Europe, particularly the United Kingdom and Spain. The mortality rate of hip fracture patients with COVID-19 was significantly higher than those without COVID-19, while the mortality rate of hip fracture patients without COVID-19 did not change during the pandemic.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Surgery
Adora N. Moneme, Christopher J. Wirtalla, Sanford E. Roberts, Luke J. Keele, Rachel R. Kelz
Summary: This study aims to evaluate the association between PCP follow-up and 30-day readmission rates after hospital discharge for patients with an EGS condition.
Article
Clinical Neurology
David Botros, Adham M. Khalafallah, Sakibul Huq, Hayden Dux, Leonardo A. P. Oliveira, Richard Pellegrino, Christopher Jackson, Gary L. Gallia, Chetan Bettegowda, Michael Lim, Jon Weingart, Henry Brem, Debraj Mukherjee
Summary: Postoperative 30-day readmissions have a negative impact on survival and clinical outcomes in patients with glioblastoma (GBM). This study investigated the risk factors for readmission in primary and recurrent GBM patients. Clinical characteristics, such as Karnofsky Performance Scale score, length of stay, and complications, were found to significantly predict 30-day readmissions. Optimization of preoperative and postoperative management may improve outcomes for at-risk GBM patients.
Article
Substance Abuse
Alexandra E. Harper, James S. Krause, Lauren Terhorst, Natalie E. Leland
Summary: The study revealed that over 50% of SCI rehabilitation patients had a history of substance abuse, and 94% reported moderate to severe pain. There was a significant interaction between substance abuse history and pain severity, impacting functional improvement. Individuals with pain but no substance abuse history showed better functional improvement during rehabilitation.
Review
Gerontology
Alexandra E. Harper, Stephanie Rouch, Natalie E. Leland, Rose L. Turner, William E. Mansbach, Claire E. Day, Lauren Terhorst
Summary: A systematic review was conducted to assess self-report tools measuring the perspective of family caregivers of nursing home residents with dementia, revealing gaps in tools measuring specific domains important to stakeholders. Future research should focus on developing psychometrically sound tools aligned with the multidomain caregiver perspective.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Oncology
Rachelle Brick, Kathleen Doyle Lyons, Catherine Bender, Rachel Eilers, Robert Ferguson, Mackenzi Pergolotti, Pamela Toto, Elizabeth Skidmore, Natalie E. Leland
Summary: The study found that older breast cancer survivors consider multiple factors when deciding whether to utilize cancer rehabilitation services, including awareness of disability, coping styles, social support, etc. Development of shared decision-making tools can enhance communication and referral to cancer rehabilitation services.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Medicine, General & Internal
Vera Kaelin, Vivian Villegas, Yi-Fan Chen, Natalie Murphy, Elizabeth Papautsky, Jodi Litfin, Natalie Leland, Varun Maheshwari, Beth McManus, Mary Khetani
Summary: This study aims to examine the effectiveness and implementation strategies of a tool for family-centered early intervention services. The study will conduct a community-based trial and analyze stakeholder perspectives through interviews and thematic analysis to evaluate the implementation of this tool in multiple early intervention programs.
Article
Medicine, General & Internal
Leslie Scheunemann, Jennifer S. White, Suman Prinjha, Tammy L. Eaton, Megan Hamm, Timothy D. Girard, Charles Reynolds, Natalie Leland, Elizabeth R. Skidmore
Summary: This study analyzed the barriers and facilitators to resuming meaningful activities for critical illness survivors when transitioning from hospital to home. The findings provide valuable insights for optimizing patient-centered care and reducing disability after critical illness.
Review
Gerontology
Natalie E. Leland, Cara Lekovitch, Jenny Martinez, Stephanie Rouch, Patrick Harding, Carin Wong
Summary: Accidental falls among older PAC patients can be prevented through multidisciplinary intervention. This scoping review identified common intervention domains, such as facility-based strategies, patient-specific risk factor evaluation, and individualized treatment plans. However, there is variability in how these domains are addressed across studies.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Oncology
Rachelle Brick, Elizabeth Skidmore, Catherine Bender, Robert Ferguson, Mackenzi Pergolotti, Pamela Toto, Natalie Leland
Summary: This study aimed to improve accessibility of rehabilitation interventions for older breast cancer survivors by determining the content and delivery features through expert consensus. Experts prioritized physical activity strategies and adaptive skills training. They also identified outpatient services, post-treatment delivery, combination mode, short duration, and one to two days per week frequency as important factors in improving accessibility.
JOURNAL OF GERIATRIC ONCOLOGY
(2022)
Article
Audiology & Speech-Language Pathology
Charity G. Patterson, Natalie E. Leland, Elaine Mormer, Catherine V. Palmer
Summary: Cluster-randomized trials and cluster-randomized stepped-wedge trials are alternative methods where interventions are allocated at the group level and outcomes are measured at the individual level. These designs are particularly useful for testing speech, language, and hearing care interventions in real-world settings where individual-randomized trials are not feasible.
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH
(2022)
Article
Geriatrics & Gerontology
Rachel A. Prusynski, Andrew Humbert, Natalie E. Leland, Bianca K. Frogner, Debra Saliba, Tracy M. Mroz
Summary: Implementation of PDPM and COVID-19 had negative impacts on therapy staffing in SNFs, with larger declines for assistants and contractors. SNFs that historically engaged in profit-maximizing behaviors had larger staffing declines during PDPM compared to other SNFs. Therapy staffing fluctuated during COVID-19, but PDPM-related reductions persisted 2 years into the pandemic, especially in rural SNFs.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Stephanie Rouch, Lauren Terhorst, Elizabeth R. Skidmore, Juleen Rodakowski, Tiffany L. Gary-Webb, Natalie E. Leland
Summary: This study investigated the frequency of cognitive screening and assessment documentation in post-acute settings using Medicare claims and electronic health record data. The findings revealed inconsistent documentation across disciplines and post-acute settings, highlighting the need for standardized data elements to improve care coordination and outcomes.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Article
Medical Informatics
Sabrin Rizk, Vera C. Kaelin, Julia Gabrielle C. Sim, Natalie J. Murphy, Beth M. McManus, Natalie E. Leland, Ashley Stoffel, Lesly James, Kris Barnekow, Elizabeth Lerner Papautsky, Mary A. Khetani
Summary: The aim of this study is to identify and prioritize early intervention stakeholders' perspectives of supports and barriers to implementing the Young Children's Participation and Environment Measure (YC-PEM). Through interviews and focus groups, stakeholders' opinions were collected and analyzed for future implementation.
APPLIED CLINICAL INFORMATICS
(2023)
Article
Geriatrics & Gerontology
Monique R. Pappadis, Ioannis Malagaris, Yong-Fang Kuo, Natalie Leland, Janet Freburger, James S. Goodwin
Summary: An increasing number of older adults with traumatic brain injury (TBI) require hospitalization, but it is unknown whether they return to their community following discharge. This study examines community residence and readmission rates for older adults with TBI in Texas and identifies factors associated with these outcomes. The results show that most older adults with TBI are able to return to their community following hospital discharge, but there are disparities in community residence and readmission risk.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Medicine, Research & Experimental
Natalie E. Leland, Victoria Shier, Catherine Verrier Piersol, Cara Lekovitch, Jenny Martinez, Yuna H. Bae-Shaaw, Neeraj Sood, Claire Day, Paul Cass, Dominique Como, Carin Wong, Felicia Chew
Summary: This study aims to compare team-based and problem-based approaches to non-pharmacological care for Alzheimer's Disease and Related Dementias (ADRD) in nursing homes. It will evaluate the effectiveness of these approaches on long-term resident outcomes and explore their potential protective effects against COVID-19. This research is significant for optimizing staff training and improving ADRD care delivery.
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2023)
Meeting Abstract
Critical Care Medicine
L. P. Scheunemann, E. M. Motter, P. T. Eisenhauer, P. S. Kim, N. Gandhi, T. D. Girard, C. F. Reynolds, N. E. Leland
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Article
Gerontology
Ian Livingstone, Jennifer Hefele, Natalie Leland
Summary: The purpose of this study is to examine the staffing patterns of Physical Therapy (PT) and Occupational Therapy (OT) in nursing homes and their relationship with quality performance. The findings suggest that PT/OT staff have a positive influence on resident outcomes, and the staffing patterns significantly differ across provider attributes. These findings can be used to inform policymakers about potential unintended consequences resulting from changes to Medicare reimbursement policies.
JOURNAL OF AGING & SOCIAL POLICY
(2022)