This study compared equal age groups from two cohorts from the Midlife in the United States (MIDUS) study surveyed at different times to characterize societal changes in measures of subjective age and age threshold. Two successive MIDUS cohorts were utilized (1995-1996 and 2011-2014; age range 25-74). Outcomes included subjective age (felt age and desired age) and age threshold.
View Article and Find Full Text PDFPulse oximetry is a commonly used means to measure peripheral capillary oxyhemoglobin saturation (SpO). Potential use of pulse oximetry to detect aspiration is attractive to clinicians, as it is readily available, quick, and noninvasive. However, research regarding validity has been mixed.
View Article and Find Full Text PDFThis retrospective cohort study evaluated the effect of topical polymyxin-trimethoprim (poly) prophylaxis on the incidence of driveline infections (DLIs) in patients with continuous-flow left ventricular assist devices. All 84 cases implanted 2005-2014 with device support ≥30 days were reviewed; support ranged 1 m-5.2 yrs.
View Article and Find Full Text PDFBackground: Older persons account for the majority of hospitalizations in the United States.1 Identifying risk factors for hospitalization among elders, especially potentially preventable hospitalization, may suggest opportunities to improve primary care. Certain factors-for example, living alone-may increase the risk for hospitalization, and their effect may be greater among persons with dementia and the old-old (aged 85+).
View Article and Find Full Text PDFObjective: To examine variations in processes of pediatric inpatient rehabilitation care related to family-centered care, management of neurobehavioral and psychosocial needs, and community reintegration after traumatic brain injury.
Setting: Nine acute rehabilitation facilities from geographically diverse areas of the United States.
Participants: A total of 174 children with traumatic brain injury.
Objective: To examine variations in processes of paediatric inpatient rehabilitation care related to school re-entry and management of cognitive and communication impairments after traumatic brain injury.
Design: Retrospective cohort study.
Methods: Adherence to care processes recommended for children (aged 0-17) with moderate-to-severe traumatic brain injury and admitted for inpatient rehabilitation was assessed.
Objective: To report the 5-year course of a patient's swallowing disorder in the context of progressive neuromuscular disease and the effectiveness of a lingual strengthening treatment program.
Design: This is a case report that describes a lingual treatment protocol that was repeated 3 times over a 5-year period with and without maintenance periods.
Setting: The study was completed in 2 settings-an outpatient swallowing clinic at an acute care hospital and the patient's home.
Objective: To determine variations in care provided by 9 inpatient rehabilitation units for children with traumatic brain injury (TBI) using newly developed quality indicators.
Design: Retrospective cohort study.
Setting: Nine inpatient rehabilitation units.
Objectives: To develop evidence-based and expert-driven quality indicators for measuring variations in the structure and organization of acute inpatient rehabilitation for children after traumatic brain injury (TBI) and to survey centers across the United States to determine the degree of variation in care.
Design: Quality indicators were developed using the RAND/UCLA modified Delphi method. Adherence to these indicators was determined from a survey of rehabilitation facilities.
Objective: To develop measurement tools for assessing compliance with identifiable processes of inpatient care for children with traumatic brain injury (TBI) that are reliable, valid, and amenable to implementation.
Design: Literature review and expert panel using the RAND/UCLA Appropriateness Method and a Delphi technique.
Setting: Not applicable.
Background: Left ventricular assist devices (LVADs) reduce pulmonary vascular resistance (PVR) in patients with severe heart failure. The aim of this study was to noninvasively assess the effect of LVAD implantation on PVR and right-heart function.
Methods: In 21 patients with HeartMate II LVADs, serial echocardiograms were reviewed prior to implantation and 1 and 6 months after implantation.