Publications by authors named "J M Raats"

Background: Older adults with rib fractures pose an increasing clinical and financial burden on healthcare. Identifying and addressing the increased risk of adverse outcomes has been a key objective in geriatric co-management of surgical patients. The Comprehensive Geriatric Assessment-based Frailty Index (FI-CGA) is a useful predictor of complications and mortality in older adults, but its value in rib fracture management remains unclear.

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Purpose: Patient-reported outcome measures (PROMs) are widely used in medicine. As older adults, who may rely on a proxy caregiver for answers due to cognitive impairment, are representing an increasing share of the traumatically injured patient population, proxy-reported outcome measures (proxROMs) offer a valuable alternative source of patient-centered information although its association with PROMs is unclear. The objective of this scoping review is to discuss all available literature comparing PROM and proxROMs in adult patients with musculoskeletal trauma to guide future research in this field.

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Article Synopsis
  • - The study aims to evaluate the modified Reaching Performance Scale (mRPS) as a reliable tool for assessing movement patterns in individuals with Multiple Sclerosis (pwMS), addressing a gap in the psychometric properties of the original scale developed for stroke patients.
  • - A sample of 45 pwMS participated, performing reach-to-grasp tasks, with content validity assessed by experts and reliability determined through repeated measurements over different sessions.
  • - Results indicated strong reliability within and between sessions and significant correlations between mRPS scores and other established functional assessments, suggesting that the mRPS is a valid assessment tool for evaluating motor performance in pwMS.
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Article Synopsis
  • This study explores the post-operative functional outcomes for severely frail older adults after femur fracture surgery, emphasizing patient- or proxy-reported results rather than just complications and mortality.
  • Involving 37 predominantly female patients with a median age of 85, the study assessed various outcomes including mobility, independence, psychosocial aspects, and pain levels more than a year post-surgery.
  • Findings indicate that despite their frailty, many patients (70%) regained some level of ambulation, with significant variability in functional independence, suggesting that surgical treatment can help improve quality of life for this population.
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Objective: Modern clinical rehabilitation practice aligned to the International Classification of Functioning, Disability and Health and the Convention on the Rights of Persons with Disabilities highlights the importance of attention to participation in the rehabilitation formulation. This systematic review investigates the efficacy of rehabilitation interventions evaluated in common neurological disorders reported to influence participation outcomes.

Data Sources: PubMed, Web of Science and PsycINFO databases were searched from inception to 25 April 2023.

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