Inpatient rehabilitation facilities: The 3-hour rule.

The aim of this study was to determine whether patients whose treatment is consistent with the 3-hour rule have better outcomes than patients whose treatment is not consistent with the 3-hour rule.This is a retrospective review of the records of 581 patients. The authors compared the outcomes of 397 patients whose therapy was consistent with the 3-hour rule to the outcomes of 184 patients whose therapy was not consistent with the rule for at least one 7-day period during the stay on an inpatient rehabilitation facility.

Minimally Invasive Surgical Management of Thoracic Ossification of the Ligamentum Flavum Associated with X-linked Hypophosphatemia.

Background: X-linked hypophosphatemia (XLH) is the most common inherited form of renal phosphate wasting and inherited rickets. Patients have hyperplasia of fibrochondrocytes in tendons and ligaments, causing the structures to thicken and calcify. Thickening of the lamina, hypertrophy of facet joints, and calcification of spinal ligaments are sequelae of this condition and can result in central or foraminal stenosis that compresses nerve roots or the spinal cord.

Efficient Assessment of Risk of Fall.

Purpose: The aim of this study was to identify factors that are associated with risk of falls on rehabilitation unit and to determine an efficient and inexpensive method of identifying patients at high risk for fall.

Design: Retrospective record review.

Method: Retrospective review of 2,254 consecutive admissions to an inpatient rehabilitation unit.

Left Ventricular Assist Device: Care On Inpatient Rehabilitation Facility.

Purpose: Investigate the outcomes of patients admitted to an inpatient rehabilitation facility (IRF) after placement of a left ventricular assist device (LVAD).

Design: Retrospective review of records.

Method: Authors reviewed records of patients admitted to the IRF after cardiac surgery or admission to the hospital with either acute myocardial infarction, congestive heart failure, or placement of an LVAD.

A comparison of the Functional Independence Measure and Morse Fall Scale as tools to assess risk of fall on an inpatient rehabilitation.

Purpose: The purpose of this study was to determine if the Functional Independence Measure (FIM) is as useful as the Morse Fall Scale in determining which patients admitted to an inpatient rehabilitation facility (IRF) are at highest risk for fall.

Method: Review of the charts of all patients admitted to an IRF in calendar year 2010.

Findings: Low scores on the FIM are as useful as high scores on the MFS in suggesting that a patient is at high risk for fall.

Longitudinal performance of a surgically implanted neuroprosthesis for lower-extremity exercise, standing, and transfers after spinal cord injury.

Objective: To investigate the longitudinal performance of a surgically implanted neuroprosthesis for lower-extremity exercise, standing, and transfers after spinal cord injury.

Design: Case series.

Setting: Research or outpatient physical therapy departments of 4 academic hospitals.

Falls on an inpatient rehabilitation unit: risk assessment and prevention.

Purpose: To determine the relationship between admission diagnosis and admission score on Functional Independence Measure (FIM) to the likelihood that a patient will fall. To measure the effectiveness of a multifactorial program to reduce falls.

Method: The Quality Improvement Team put in place a multifactorial program to reduce the incidence of falls on an inpatient rehabilitation unit.

Use of the Case Western Reserve/Veterans Administration neuroprosthesis for exercise, standing and transfers by a paraplegic subject.

Functional electric stimulation (FES) is a technology that may allow patients with spinal cord injury (SCI) to transfer stand and walk. This paper reports upon the use of the Case Western Reserve Neuroprosthesis by a T6 ASIA B paraplegic subject. The subject was able to stand for two minutes and 50 seconds.

Energy cost of the case Western reserve standing neuroprosthesis.

Objective: To determine the oxygen consumption of a person with C7 American Spinal Injury Association (ASIA) grade B tetraplegia using the Case Western Reserve/Veterans Administration (CWRU/VA) standing neuroprosthesis.

Design: Measure the oxygen consumption and carbon dioxide production of a person with C7 ASIA grade B tetraplegia at rest, standing in the parallel bars with the CWRU/VA system on, ambulating in the parallel bars, and transferring from a wheelchair to a mat with the system on.

Setting: University medical center.

Inpatient rehabilitation of patients requiring hemodialysis: improving efficiency of care.

Objective: To determine if reducing missed therapy sessions by patients requiring hemodialysis will reduce the length of stay (LOS) and improve the efficiency of care in an inpatient rehabilitation unit.

Design: Retrospective study.

Setting: Inpatient rehabilitation unit at a university medical center.

Inpatient rehabilitation of patients requiring hemodialysis.

Objective: To evaluate the outcomes of patients who require hemodialysis and are admitted to an inpatient rehabilitation unit.

Design: Retrospective review of the data of all admissions to an inpatient rehabilitation unit in 2001.

Setting: University medical center.

Time of care required by patients discharged from a rehabilitation unit.

Objective: To determine the amount of care (measured in time) required by patients discharged from an inpatient rehabilitation unit.

Design: A total of 103 consecutive patients discharged from an inpatient rehabilitation unit to home were contacted 1 mo after discharge and asked to report the amount of help that they required at home. Correlations were made between the time of help that the subjects reported needing and their age, sex, living situation, marital status, diagnosis, and the score on the FIM at the time of discharge from the rehabilitation unit.