Changes in 6‐minute walking distance in lung transplant candidates while participating in a home‐based pre‐habilitation program—A retrospective chart review

2020 ◽  
Vol 34 (10) ◽  
Author(s):  
Daniela Massierer ◽  
Nicholas Bourgeois ◽  
Agnès Räkel ◽  
Karina Prévost ◽  
Larry C. Lands ◽  
...  
Keyword(s):  
Lung Transplant ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Walking Distance ◽  
Home Based ◽  
Transplant Candidates

Effectiveness of a Home-Based Pre-Habilitation Program for Lung Transplant Candidates - A Retrospective Chart Review

2020 ◽  
Vol 39 (4) ◽  
pp. S383-S384
Author(s):  
D. Massierer ◽  
N. Bourgeois ◽  
A. Räkel ◽  
K. Prevost ◽  
L.C. Lands ◽  
...  
Keyword(s):  
Lung Transplant ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Home Based ◽  
Transplant Candidates

Effectiveness of a home-based pre-habilitation program for lung transplant candidates

2020 ◽  
Author(s):  
Tania Janaudis-Ferreira ◽  
Daniela Massierer ◽  
Nicholas Bourgeois ◽  
Agnes Rakel ◽  
Karina Prevost ◽  
...  
Keyword(s):  
Lung Transplant ◽  
Home Based ◽  
Transplant Candidates

scholarly journals Effectiveness of home-based fortified diet in the rehabilitation of malnourished children in resource restrained country: an institution based retrospective study

2020 ◽  
Author(s):  
Saba Shahid ◽  
Marvi Mahesar ◽  
Anum Rahim ◽  
Yumna Sadiq
Keyword(s):  
Weight Gain ◽  
Chart Review ◽  
Data Extraction ◽  
Real Life ◽  
Retrospective Chart Review ◽  
Final Analysis ◽  
Nutrition Survey ◽  
Community Based ◽  
Malnourished Children ◽  
Home Based

Abstract Background: Globally, it is estimated that 50 million children under five are wasted. National nutrition survey-2018 has shown that 23.3% and 45.5% of children are wasted and stunted in Pakistan. Many studies have shown that hospital-based management of malnutrition is not practical due to high cost and iatrogenic infections, and currently, WHO recommends community-based management of malnutrition with the provision of therapeutic food. There is limited evidence of community rehabilitation of malnourished children by using the home-fortified diet in Pakistan. This study evaluated the effectiveness of using the home-fortified diet in achieving recovered from malnutrition through a retrospective chart review.Methods: A retrospective chart review of pediatric patients (aged six months –5 years) seen in Indus Hospital between January 2017 to June 2018 was conducted. A predesigned data extraction form was used to record detailed information about demographic characteristics, feeding, anthropometric, micronutrient, and nutritional details at enrollment and on follow-up.Results: A total of 361 patients were included in the final analysis. The median age of children was 14 months. 102 children were recovered from malnutrition with a median length of stay in the program of 28 days. The median for weight gain was 4.8 (0-10.3) g/Kg/day, 226 children defaulted and 10 died.Conclusion: This study revealed adequate weight gain and recovered from malnutrition in children by using the home-fortified diet in real-life situations. Home-fortified diets may serve as an effective strategy in community-based rehabilitation of malnourished children, especially in resource constraint contexts.

scholarly journals Evaluating the care provision of a community-based serious-illness care program via chart measures

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christine E. Kistler ◽  
Matthew J. Van Dongen ◽  
Natalie C. Ernecoff ◽  
Timothy P. Daaleman ◽  
Laura C. Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model. Methods Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n = 159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access. Results Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35, 22, 21%, respectively). Conclusion This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

scholarly journals Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures

2020 ◽  
Author(s):  
Christine Kistler ◽  
Matthew Van Dongen ◽  
Natalie Ernecoff ◽  
Timothy Daaleman ◽  
Laura Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model.Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access.Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively). Conclusion: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

scholarly journals A mobile health technology enabled home-based intervention to treat frailty in adult lung transplant candidates: A pilot study

2018 ◽  
Vol 32 (6) ◽  
pp. e13274 ◽  
Author(s):  
Jonathan P. Singer ◽  
Allison Soong ◽  
Allan Bruun ◽  
Ayana Bracha ◽  
Greg Chin ◽  
...  
Keyword(s):  
Pilot Study ◽  
Mobile Health ◽  
Lung Transplant ◽  
Health Technology ◽  
Mobile Health Technology ◽  
Adult Lung ◽  
Home Based ◽  
Transplant Candidates ◽  
Home Based Intervention

scholarly journals Evaluating the Care Provision of a Community-Based Serious-Illness Care Program Via Chart Measures

2020 ◽  
Author(s):  
Christine Kistler ◽  
Matthew Van Dongen ◽  
Natalie Ernecoff ◽  
Timothy Daaleman ◽  
Laura Hanson
Keyword(s):  
Quality Of Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Care Program ◽  
Academic Community ◽  
Care Provision ◽  
Community Based ◽  
Serious Illness ◽  
Home Based

Abstract Background: Although quality-of-care domains for home-based primary and palliative programs have been proposed, they have had limited testing in practice. Our aim was to evaluate the care provision in a community-based serious-illness care program, a combined home-based primary and palliative care model.Methods: Retrospective chart review of patients in an academic community-based serious-illness care program in central North Carolina from August 2014 to March 2016 (n=159). Chart review included demographics, health status, and operationalized measures of seven quality-of-care domains: medical assessment, care coordination, safety, quality of life, provider competency, goal attainment, and access.Results: Patients were mostly women (56%) with an average age of 70 years. Patients were multi-morbid (53% ≥3 comorbidities), functionally impaired (45% had impairment in ≥2 activities of daily living) and 32% had dementia. During the study period, 31% of patients died. Chart review found high rates assessment of functional status (97%), falls (98%), and medication safety (96%). Rates of pain assessment (70%), advance directive discussions (65%), influenza vaccination (59%), and depression assessment (54% of those with a diagnosis of depression) were lower. Cognitive barriers, spiritual needs, and behavioral issues were assessed infrequently (35%, 22%, 21%, respectively).Conclusion: This study is one of the first to operationalize and examine quality-of-care measures for a community-based serious-illness care program, an emerging model for vulnerable adults. Our operationalization should not constitute validation of these measures and revealed areas for improvement; however, the community-based serious-illness care program performed well in several key quality-of-care domains. Future work is needed to validate these measures.

scholarly journals Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Aimee M. Layton ◽  
Andrew M. Irwin ◽  
Erin C. Mihalik ◽  
Emily Fleisch ◽  
Claire L. Keating ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Adverse Events ◽  
Lung Transplant ◽  
Exercise Program ◽  
Text Messages ◽  
Data Set ◽  
Home Based ◽  
Viable Solution ◽  
Transplant Candidates ◽  
Fitness Application

Purpose. The purpose of this study was to pilot a home-based pulmonary rehabilitation (PR) program administered via a telemedicine approach using a combination of fitness application and self-selected activity in lung transplant candidates with cystic fibrosis (CF). Methods. We recruited adult patients with CF. The main outcome was adherence, measured by number of sessions completed in 12 weeks. Secondary outcomes were adverse events, six-minute walk distance (6MWD), and dyspnea. Participants were provided a personalized exercise program and equipment including a fitness application that provided exercise videos, recorded exercise time, and corresponding heart rate. We reviewed data daily and provided text messages with feedback. We compared our study outcomes to a retrospective data set of CF patients who participated in a 24-session outpatient hospital-based PR program. Data presented as mean ± standard   deviation . Results. Eleven patients participated in the home PR program, 45% female, age 33 ± 7   years , FEV1 27 ± 5 % predicted. Sessions completed were 19 ± 12 home-based PR vs. 9 ± 4 hospital-based PR, p = .03 . Fifty percent of the home-based group completed ≥24 sessions in 12 weeks versus 0% of the hospital-based patients ( p = .03 ). There were no adverse events during exercise. Completers of the home-based program demonstrated a clinically meaningful lower decline in 6 MWD than noncompleters (6MWD − 7 ± 15 vs. − 86 ± 108   meters ). Only one participant performed a post 6 MWD in the hospital-based PR. Conclusion. Patients with severe CF demonstrated adherence to home PR delivered using fitness application and self-selected activity with no adverse events. This program style may be a viable solution for telerehabilitation in severe CF and is particularly relevant in the COVID era.

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