PMID- 19651261
OWN - NLM
STAT- MEDLINE
DCOM- 20090915
LR  - 20220311
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 90
IP  - 8
DP  - 2009 Aug
TI  - Characterizing rehabilitation services for patients with knee and hip replacement 
      in skilled nursing facilities and inpatient rehabilitation facilities.
PG  - 1269-83
LID - 10.1016/j.apmr.2008.11.021 [doi]
AB  - OBJECTIVE: To characterize rehabilitation services for patients with knee and hip 
      replacement in 3 types of postacute facilities in the U.S. DESIGN: Multi-site 
      prospective observational cohort study. SETTING: Eight freestanding skilled 
      nursing facilities (SNFs), 1 hospital-based SNF, and 11 inpatient rehabilitation 
      facilities (IRFs). PARTICIPANTS: Patients (N=2158) with knee or hip replacement. 
      INTERVENTIONS: No new interventions. MAIN OUTCOME MEASURES: Length of stay (LOS), 
      amount and intensity of physical therapy (PT) and occupational therapy (OT), 
      types of therapy activities. RESULTS: Average LOS was about 15 days for 
      freestanding SNF patients, and 9 to 10 days for hospital-based SNF and IRF 
      patients. Freestanding SNFs and IRFs provide about the same number of hours of PT 
      and OT; the hospital-based SNF provided 27% fewer hours. Freestanding SNFs and 
      the hospital-based SNF provided fewer hours a day than did IRFs. Joint 
      replacement patients across all 3 types of facilities spent, on average, 70% to 
      75% of their PT time in just 2 activities--exercise and gait and spent 56% to 66% 
      of their OT time in 3 activities--exercise, functional mobility, and dressing 
      lower body. CONCLUSIONS: Both freestanding SNFs and IRFs provided similar amounts 
      of PT with a similar emphasis on exercise and gait activities. IRFs, however, 
      provided more OT than freestanding SNFs. IRFs had shorter LOSs and more intensive 
      therapy services than freestanding SNFs. Study freestanding SNFs exhibited 
      greater variation in LOS and intensity of therapy than IRFs.
FAU - DeJong, Gerben
AU  - DeJong G
AD  - Center for Post-acute Studies, National Rehabilitation Hospital, Washington, DC 
      20010, USA. Gerben.DeJong@MedStar.net
FAU - Hsieh, Ching-Hui
AU  - Hsieh CH
FAU - Gassaway, Julie
AU  - Gassaway J
FAU - Horn, Susan D
AU  - Horn SD
FAU - Smout, Randall J
AU  - Smout RJ
FAU - Putman, Koen
AU  - Putman K
FAU - James, Roberta
AU  - James R
FAU - Brown, Michael
AU  - Brown M
FAU - Newman, Elizabeth M
AU  - Newman EM
FAU - Foley, Mary P
AU  - Foley MP
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
CIN - Arch Phys Med Rehabil. 2009 Aug;90(8):1257-9. PMID: 19651259
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*rehabilitation
MH  - Arthroplasty, Replacement, Knee/*rehabilitation
MH  - Chi-Square Distribution
MH  - Comorbidity
MH  - Female
MH  - Humans
MH  - Inpatients
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Occupational Therapy
MH  - Physical Therapy Modalities
MH  - Rehabilitation Centers/*organization & administration
MH  - Skilled Nursing Facilities/*organization & administration
MH  - Subacute Care/*organization & administration
MH  - Treatment Outcome
MH  - United States
EDAT- 2009/08/05 09:00
MHDA- 2009/09/16 06:00
CRDT- 2009/08/05 09:00
PHST- 2008/03/31 00:00 [received]
PHST- 2008/10/28 00:00 [revised]
PHST- 2008/11/24 00:00 [accepted]
PHST- 2009/08/05 09:00 [entrez]
PHST- 2009/08/05 09:00 [pubmed]
PHST- 2009/09/16 06:00 [medline]
AID - S0003-9993(09)00302-5 [pii]
AID - 10.1016/j.apmr.2008.11.021 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2009 Aug;90(8):1269-83. doi: 10.1016/j.apmr.2008.11.021.