Poster 2: Dual-Use Acute Rehabilitation Unit: Solution for Rural Hospitals? A Case Report

2007 ◽  
Vol 88 (9) ◽  
pp. E9
Author(s):  
Richard S. Kaplan
Keyword(s):  
Case Report ◽  
Rural Hospitals ◽  
Dual Use ◽  
Rehabilitation Unit ◽  
Acute Rehabilitation

Poster 360 Acute Rehabilitation of a Patient with Stiff Person Syndrome (SPS) and GAD-Antibody Cerebellar Ataxia: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S278-S279
Author(s):  
Nicole A. Strong ◽  
Nicholas F. Love ◽  
Kristen M. Brusky ◽  
Sara Salim
Keyword(s):  
Case Report ◽  
Cerebellar Ataxia ◽  
Stiff Person Syndrome ◽  
Acute Rehabilitation

Acute Rehabilitation in a Lung Transplant Recipient Infected with Covid-19: Case Report

2021 ◽  
pp. 1-10
Author(s):  
Cristiane Meirelles ◽  
Sidra Dhiraprasiddhi ◽  
Adannaya E. Nzeogu ◽  
Sara Clements ◽  
Colleen Wallace ◽  
...  
Keyword(s):  
Case Report ◽  
Transplant Recipient ◽  
Lung Transplant ◽  
Lung Transplant Recipient ◽  
Acute Rehabilitation

Impact of Nosocomial Infection on Length of Stay and Functional Improvement Among Patients Admitted to an Acute Rehabilitation Unit

2001 ◽  
Vol 22 (02) ◽  
pp. 83-87 ◽  
Author(s):  
Joseph M. Mylotte ◽  
Robin Graham ◽  
Lucinda Kahler ◽  
B. Lauren Young ◽  
Susan Goodnough
Keyword(s):  
Length Of Stay ◽  
Nosocomial Infection ◽  
Functional Status ◽  
Functional Independence ◽  
Functional Improvement ◽  
Multivariate Linear Regression Analysis ◽  
Rehabilitation Unit ◽  
Cord Injury ◽  
Acute Rehabilitation ◽  
First Time

AbstractObjective:To identify factors predictive of length of stay (LOS) and the level of functional improvement achieved among patients admitted to an acute rehabilitation unit for the first time, with special reference to the role of nosocomial infection.Setting:A 40-bed acute rehabilitation unit within a 300-bed, tertiary-care, public, university-affiliated hospital.Study Population:All patients admitted to the unit between January 1997 and July 1998.Design:Prospective cohort study in which demographic and clinical data, including occurrence of nosocomial infection, were collected during the entire unit admission of each patient. Multivariate linear regression analysis was used to identify factors predictive of unit LOS or improvement in functional status as measured by the change in the Functional Independence Measure (FIM) score between admission and discharge (ΔFIM).Results:There were 423 admissions to the rehabilitation unit during the study period, of which 91 (21.5%) had spinal cord injury (SCI) as a principal diagnosis. One hundred seven nosocomial infections occurred during 84 (19.9%) of the 423 admissions. The most common infections were urinary tract (31.8% of all infections), surgical-site (18.5%), andClostridium difficilediarrhea (15%). Only one patient died of infection. After controlling for severity of illness on admission, functional status on admission, age, and other clinical factors, the significant positive predictors of unit LOS were as follows: SCI (P<.001), pressure ulcer (.002), and nosocomial infection (<.001). Significant negative predictors of ΔFIM were age (P<.001), FIM score on admission (<.001), prior hospital LOS (.002), and nosocomial infection (.007).Conclusions:Several variables were identified as contributing to a longer LOS or to a smaller improvement in functional status among patients admitted for the first time to an acute rehabilitation unit Of these variables, only nosocomial infection has the potential for modification. Studies of new approaches to prevent infections among patients undergoing acute rehabilitation should be pursued.

Pseudopsychopathic Syndrome in Hydrocephalus: A Case Report and Review

Neurosurgery ◽  
1990 ◽  
Vol 26 (4) ◽  
pp. 661-663 ◽  
Author(s):  
Matthew Bowen ◽  
Arun Verma ◽  
Saeed Bajwa ◽  
Leslie Kusmirek
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Low Pressure ◽  
Rehabilitation Program ◽  
Shunt Revision ◽  
Communicating Hydrocephalus ◽  
Computed Tomographic ◽  
Ventriculoperitoneal Shunting ◽  
Acute Rehabilitation

Abstract A 24-year-old man with a head injury developed a communicating hydrocephalus and underwent ventriculoperitoneal shunting. A revision was required, and the patient emerged from coma with severe behavior outbursts, which persisted for more than 1 year. Computed tomographic scans indicated a recurrence of low-pressure communicating hydrocephalus and a shunt revision was performed. The patient's severe behavior outbursts immediately decreased dramatically, The improvement continued long term and extended beyond the acute rehabilitation program.

Severe Disability After Stroke: Outcome After Inpatient Rehabilitation

1999 ◽  
Vol 13 (3) ◽  
pp. 199-203 ◽  
Author(s):  
John G. Schmidt ◽  
Jessie Drew-Cates ◽  
Mary L. Dombovy
Keyword(s):  
Functional Outcome ◽  
Hemorrhagic Stroke ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Efficiency Score ◽  
Poor Functional Outcome ◽  
Rehabilitation Unit ◽  
Home Setting ◽  
Severe Stroke ◽  
Acute Rehabilitation

Objective: To determine the functional outcome following acute rehabilitation of patients with severe and very severe stroke using the Functional Independence Mea sure (FIM). Background: Most patients with severe and very severe stroke are reported in the literature to have a poor functional outcome. However, there are few studies that specifically address severity and their conclusions are confounding. Methods: We retrospectively reviewed charts of 41 consecutive patients with the primary diag nosis of ischemic or hemorrhagic stroke admitted to an inpatient rehabilitation unit with a admission FIM score of <60. Outcome measures included discharge residence, length of stay, and FIM score. Results: Over 63 percent (26 patients) were discharged to home. Discharge mean FIM scores (61.24) were significantly improved over the admission mean FIM (34.12) for self-care, mobility, communication, and social cog nition. The FIM Efficiency score was 0.356/day (mean[FIMdis-FIMadm]/mean LOS) as compared with previous reports of FIM Efficiency of 0.97/day for all stroke. Con clusion: Patients with severe stroke can experience improvement during inpatient rehabilitation and be discharged to a home setting, although the rate of improvement is less than that of more moderate stroke.

scholarly journals The Use of Electrical Stimulation and Taping to Address Shoulder Subluxation for a Patient With Central Cord Syndrome

2004 ◽  
Vol 84 (7) ◽  
pp. 634-643 ◽  
Author(s):  
Colleen Peterson
Keyword(s):  
Electrical Stimulation ◽  
Case Report ◽  
Upper Extremity ◽  
Spinal Injury ◽  
American Spinal Injury Association ◽  
Case Description ◽  
Central Cord Syndrome ◽  
Stroke Case ◽  
The Right ◽  
Acute Rehabilitation

Background and Purpose. This case report describes the examination, intervention, and outcome of a patient with central cord syndrome (CCS) who participated in acute rehabilitation that included the use of electrical stimulation (ES) and strapping to address shoulder subluxation. The only literature found describing these interventions for shoulder subluxation was for patients with stroke. Case Description. The patient was a 29-year-old man with CCS and bilateral shoulder subluxation. He received ES over 8 weeks to the anterior and middle deltoid and supraspinatus muscles of the right shoulder. Taping was repeated every 3 to 4 days on both shoulders following over the anterior and middle deltoid muscles up to the acromion. Outcomes. The initial shoulder subluxation measurements were 1.5 cm on the right and 1.0 cm on the left. The final measurements were 0.3 cm on the right and 0.2 cm on the left. The patient's American Spinal Injury Association upper-extremity motor scores were 26/50 initially and 48/50 at discharge. Conclusion. The use of ES and shoulder taping in conjunction with other rehabilitation may have played a role in reducing the patient's shoulder subluxation.

Poster 111 Thoracic Aortic Arch Aneurysm Presenting as Hoarseness during Acute Rehabilitation: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S222
Author(s):  
Tariq Hilal ◽  
Ana-Michelle Garcia ◽  
Jack A. Mensch ◽  
Sanjeev Agarwal
Keyword(s):  
Case Report ◽  
Aortic Arch ◽  
Aortic Arch Aneurysm ◽  
Acute Rehabilitation ◽  
Arch Aneurysm
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