A5087865365- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Hip and Femur Fractures
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Frailty in Older Adults
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Meta-analysis and systematic reviews
- Total Knee Arthroplasty Outcomes
- Cardiac Arrest and Resuscitation
- Orthopaedic implants and arthroplasty
- Trauma and Emergency Care Studies
- Acute Ischemic Stroke Management
- Sports Performance and Training
- Dementia and Cognitive Impairment Research
- Intensive Care Unit Cognitive Disorders
- Health and Wellbeing Research
- Health Systems, Economic Evaluations, Quality of Life
- Workplace Health and Well-being
- Disability Education and Employment
- Balance, Gait, and Falls Prevention
- Patient Satisfaction in Healthcare
Community Partners
2019-2025
Colorado State University
2019-2025
Pitney Bowes (France)
2022
Malcolm Grow Medical Clinic
2022
The University of Texas Medical Branch at Galveston
2007-2018
Foundation for Physical Medicine and Rehabilitation
2016
National Institutes of Health
2016
Galveston College
2012
Coronado Unified School District
2011-2012
Harrison Medical Center
2011-2012
To determine whether the Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) is representative of individuals aged 16 years and older admitted for acute, inpatient rehabilitation in United States with a primary diagnosis traumatic brain injury (TBI).
Context: Little is known about exercise intolerance or the utility of an evaluation in patients with postconcussion syndrome (PCS). Objective: To assess male and female PCS. Design: Cross-sectional study. Setting: Laboratory setting. Patients Other Participants: Participants included a convenience sample 34 PCS (17 males, 17 females; age = 25.9 ± 10.9 years) 22 uninjured individuals on whom we gathered historical deidentified laboratory data (control group; 11 23.3 6.2 years). Main Outcome...
The purpose of this study was to differentiate clinically meaningful improvement or deterioration from normal fluctuations in patients with disorders consciousness (DoC) following severe brain injury. We computed indices responsiveness for the Coma Recovery Scale-Revised (CRS-R) using data a clinical trial 180 participants DoC. used CRS-R scores baseline (enrollment trial) and 4-week follow-up assessment period these calculations. To improve precision, we transformed ordinal total (0-23...
Introduction There is a growing concern in the field of public health about rise social isolation United States. Given prevalence and associated adverse outcomes loneliness isolation, need for effective interventions critical. Emerging research demonstrates that "casual contacts" may be valuable approach to curbing effects isolation. Casual contacts, also referred as "weak ties," reflect interactions relationships with others who are neither family nor friends. The purpose this study was...
T HE majority of patients who experience a stroke are older than 65 years age and have at least one comorbid condition making them high risk for hospital readmission ( 1 -3 ) .Previous studies persons with focused on following acute care hospitalization.A systematic review 16 examining in concluded that the " current literature provides little guidance development risk-standardized models suitable public reporting hospital-level performance ([ 4 ], p. 2525) .More 30% receive postacute...
To examine the influence of diabetes on length stay (LOS), functional status, and discharge setting in individuals with hip fracture.This work included secondary analyses 79,526 from 915 rehabilitation facilities U.S. Patients were classified into three groups using Centers for Medicare Medicaid Services comorbidity structure: without (77.0%), non-tier (18.3%), tier (4.7%).Mean age was 79.4 years (SD 9.6), mean LOS 13.3 days 5.3). Tier associated longer LOS, lower status ratings, reduced...
Objective: To extend the representativeness of Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) for individuals 16 years and older, admitted acute, inpatient rehabilitation in United States with a primary diagnosis traumatic brain injury (TBI) analyses completed by Corrigan colleagues comparing this data set to national patients identical inclusion criteria that included 3 additional 2 new demographic variables. Design: Secondary analysis existing sets extension previously...
Background: In an effort to improve quality and reduce costs, reimbursement for total knee arthroplasty (TKA) hip (THA) in the United States is being based on value of care provided, with adjustments some qualifying comorbidities, including diabetes its most severe form excluding many codes. The aims this study were examine effects elective TKA or THA complications readmission risks among Medicare beneficiaries. Methods: Complication (n = 521,230) 515,691) data extracted from files 2013...
Bergés I-M, Kuo Y-F, Ostir GV, Granger CV, Graham JE, Ottenbacher KJ: Gender and ethnic differences in rehabilitation outcomes after hip-replacement surgery. Am J Phys Med Rehabil 2008;87:567–572. Objective: To examine gender functional status living setting for patients hip arthroplasty. Design: Retrospective cohort study of 69,793 receiving inpatient medical arthroplasty included the Uniform Data System Medical Rehabilitation database period 2002–2003. Primary measures as assessed by FIM...
Objective. To examine the effect of obesity on incidence disability and mortality among non-disabled older Mexicans at baseline. Materials methods. The sample included 8 415 aged ≥ 50 years from Mexican Health Aging Study (2001-2012), who reported no limitations in activities daily living (ADLs) baseline have complete data all covariates. Sociodemographics, smoking status, comorbidities, ADL activities, body mass index (BMI) were collected. Results. lowest hazard ratio (HR) for was BMI 25 to...
OBJECTIVES: To examine recent trends in discharge disposition after hospitalization for hip fracture. DESIGN: Retrospective observational study using data from the 5% random sample of Medicare claims 2001 to 2005 that Centers and Medicaid Services makes available research purposes. SETTING: Inpatient medical rehabilitation pre‐ postimplementation prospective payment (2001–2005). PARTICIPANTS: Forty‐four thousand six hundred eighty‐four patients. MEASURES: Postacute setting (home, inpatient...
Objective This study aimed to provide benchmarking information from a large national sample of patients receiving inpatient rehabilitation after traumatic spinal cord injury. Design was an analysis secondary data 891 medical facilities in the United States that contributed injury Uniform Data System for Medical Rehabilitation January 2002 December 2010. Variables analyzed included demographic (age, sex, marital status, race/ethnicity, prehospital living setting, discharge setting),...
Benchmark data are provided for a national sample of patients who received inpatient rehabilitation debility.Patients with debility from 830 facilities in the United States contributing to Uniform Data System Medical Rehabilitation 2000 2010 were examined. Demographic information (age, marital status, sex, race/ethnicity, prehospital living setting, and discharge setting), hospital (length stay, program interruptions, payer, codes admitting diagnosis), functional status (Functional...
Abstract Objective The aims of this study were to identify disability subgroups among patients hospitalized for ischemic stroke and determine the predictors distal outcomes subgroups. Methods A retrospective, cross-sectional design was used. Data on after collected from electronic health records at 5 hospitals within a single system. Covariates included social demographic factors. Disability characterized according Activity Measure Post-Acute Care assessment. Distal physical therapist...
<h3>BACKGROUND:</h3> COPD is now included in Medicare9s hospital readmission reduction program. Hospitals with excessive risk-adjusted 30-d rates receive financial penalties. Race/ethnicity not the risk-adjustment models. We examined whether race/ethnicity was independently associated after controlling for clinical factors and other demographic variables. <h3>METHODS:</h3> used 100% Medicare in-patient (Part A) files to identify patients hospitalized (MS-DRG codes 190, 191, 192) who were...