Cardiopulmonary physical therapy journal最新文献_第3页

Is Education Enough to Change the Practice of Monitoring of Blood Pressure in Outpatient Clinics? Case Report 教育是否足以改变门诊血压监测的做法？案例报告

Cardiopulmonary physical therapy journal Pub Date : 2023-07-25 DOI: 10.1097/CPT.0000000000000234

Leslie M. Smith, Sindhuja Muralidharan, Diana Stanek, A. Yorke

{"title":"Is Education Enough to Change the Practice of Monitoring of Blood Pressure in Outpatient Clinics? Case Report","authors":"Leslie M. Smith, Sindhuja Muralidharan, Diana Stanek, A. Yorke","doi":"10.1097/CPT.0000000000000234","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000234","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: Hypertension (HTN) is a prevalent and preventable risk factor for several medical conditions that can lead to death. The purpose of this study was to investigate the frequency of physical and occupational therapists taking blood pressure (BP) in outpatient clinics before and after education focused on the clinical importance of monitoring BP. Methods: This pre/posttest model consists of 2 phases. In phase 1, physical and occupational therapists were surveyed regarding attitudes, behaviors, and barriers toward monitoring BP; and electronic medical records (EMR) were audited to determine frequency of BP documentation. For phase 2, educational webinars were developed highlighting the importance of BP monitoring and followed by another EMR audit. Results: Nine clinicians participated in our survey. Survey results indicated that one-third agreed that BP should be monitored during evaluations, but 100% responded that they rarely take BP. An audit of 488 EMR charts pre-education showed there was no BP documented. Three months after education, another 237 EMR charts were audited, with a 12.7% improvement in the frequency of BP documented. A chi-square analysis showed that this improvement was statistically significant (P < .001). Conclusions: Therapists did not monitor and document BP. After the webinar series, there was a significant increase, however still below recommendations for monitoring BP.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"171 - 176"},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45946349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prevalence of Elevated Pulse Pressure and Hypertension in Adults Participating in Outpatient Physical Therapy 参加门诊物理治疗的成年人脉压升高和高血压的患病率

Cardiopulmonary physical therapy journal Pub Date : 2023-07-01 DOI: 10.1097/CPT.0000000000000223

D. O’Connell, Jill Jumper, Brad Hicks, Bubba Klostermann, Christopher Carl, Carmen Bell

{"title":"Prevalence of Elevated Pulse Pressure and Hypertension in Adults Participating in Outpatient Physical Therapy","authors":"D. O’Connell, Jill Jumper, Brad Hicks, Bubba Klostermann, Christopher Carl, Carmen Bell","doi":"10.1097/CPT.0000000000000223","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000223","url":null,"abstract":"Purpose: To examine pulse pressure (PP), systolic (SBP), and diastolic (DBP) pressure in outpatient physical therapy or maintenance fitness subjects by age (5 age groups) and in those younger than versus those who were 65 years and older. To test for differences in SBP, DBP, and PP in those with and without a hypertension (HTN) diagnosis. Methods: Ninety-eight physical therapy and maintenance fitness subjects in 1 urban outpatient clinic had PP and SBP/DBP measured and classified (ACC/AHA 2017 guidelines) using two different age classifications: (1) 20 to 44, 45 to 54, 55 to 64, 65 to 74, or ≥75 and (2) ≤64 or ≥65. Comparisons were also made in SBP, DBP, and PP based on a known hypertension diagnosis. Results: Forty male and 58 female subjects (height: 65.98 inches [SD = 4.19]; weight: 180.91 pounds [SD = 39.62]; body mass index: 29.11 [SD = 5.86]; age: 64.34 years [SD = 15.92]) participated in this investigation. Systolic blood pressure, DBP, and PP were significantly higher in those older than 65 years. Systolic blood pressure significantly increases across 5 age groups. Systolic blood pressure, DBP, and PP were significantly higher in those older than 65 years. Pulse pressure was significantly greater in those with hypertension. Pulse pressure was abnormal in 36.2% of the sample. Conclusions: Thirty-six percent of subjects receiving physical therapy treatment or participating in maintenance fitness had elevated PP while 78.9% and 47.3% had abnormal SBP and DBP, respectively. Both PP and blood pressure were significantly influenced by age. Therapists should measure resting BP and PP before treatment and refer as needed to achieve improved control.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"133 - 140"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46488300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Advocacy and Service: Opening Your Heart to Make a Vital Impact 倡导和服务:打开你的心扉，产生重要的影响

Cardiopulmonary physical therapy journal Pub Date : 2023-07-01 DOI: 10.1097/cpt.0000000000000231

A. Fick

引用次数: 1

Vital Impact 至关重要的影响

Cardiopulmonary physical therapy journal Pub Date : 2023-07-01 DOI: 10.1097/cpt.0000000000000235

A. Gurovich

引用次数: 0

Defining Dizziness: Acknowledging Vestibular Differential in Cardiopulmonary Diagnoses 定义头晕:承认心肺诊断中的前庭鉴别

Cardiopulmonary physical therapy journal Pub Date : 2023-06-09 DOI: 10.1097/cpt.0000000000000225

Kerry Lammers, Daniel Ludwig

引用次数: 1

Functional Recovery After Lung Transplantation Using a Comprehensive Rehabilitation Model 肺移植术后功能恢复的综合康复模型

Cardiopulmonary physical therapy journal Pub Date : 2023-06-05 DOI: 10.1097/CPT.0000000000000222

C. DiPerna, L. Tucker, Danielle E. Rice, Cori Shank, Abigail J. Kettler, Colin L. Terry, Linda Ulerich, D. Roe, C. Hage

{"title":"Functional Recovery After Lung Transplantation Using a Comprehensive Rehabilitation Model","authors":"C. DiPerna, L. Tucker, Danielle E. Rice, Cori Shank, Abigail J. Kettler, Colin L. Terry, Linda Ulerich, D. Roe, C. Hage","doi":"10.1097/CPT.0000000000000222","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000222","url":null,"abstract":"Supplemental Digital Content is Available in the Text. Purpose: Functional recovery after lung transplant is crucial to long-term outcomes. Despite rehabilitation, few reach the threshold of healthy function. The purpose of this study was to assess the potential benefit of rehabilitation in the Center of Life for Thoracic Transplant (COLTT) program by (1) measuring time to functional recovery, (2) identifying factors associated with functional recovery, (3) examining program outcomes, and (4) examining COLTT impact on unplanned hospital readmission. Methods: The study retrospectively examined 105 patients in COLTT after hospital discharge. Functional measures collected at enrollment and completion included 6-minute walk distance, walking speed, 1-minute sit-to-stand test, and single-leg stance. Demographic and hospital stay data were examined for associations between time to achieve COLTT goals and readmissions. Results: The median number of visits in COLTT was 18 (9–53). Significant functional gains were made across all outcome measures and near thresholds for healthy individuals. Age, hospital and intensive care unit (ICU) length of stay (LOS), lung disease type, and ventilation time were significantly associated with COLTT visits. The 30-day hospital readmission free rate after hospital discharge was 71.4%. Conclusions: Healthy adult functional outcomes were achieved in 18 visits. Age, hospital and ICU LOS, lung disease type, and prolonged ventilation are associated with functional recovery.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"141 - 149"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41986901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cannulate, Extubate, Ambulate: How the Pandemic Accelerated Development and Implementation of Early Mobility for Patients Requiring Extracorporeal Membrane Oxygenation 插管，拔管，走动:大流行如何加速需要体外膜氧合的患者早期活动能力的发展和实施

Cardiopulmonary physical therapy journal Pub Date : 2023-06-01 DOI: 10.1097/CPT.0000000000000228

PT Dpt Ccs Kari DiVito, PT Anne K. Swisher, MD Mph J.W. Awori Hayanga

{"title":"Cannulate, Extubate, Ambulate: How the Pandemic Accelerated Development and Implementation of Early Mobility for Patients Requiring Extracorporeal Membrane Oxygenation","authors":"PT Dpt Ccs Kari DiVito, PT Anne K. Swisher, MD Mph J.W. Awori Hayanga","doi":"10.1097/CPT.0000000000000228","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000228","url":null,"abstract":"Objective: Extracorporeal membrane oxygenation (ECMO) is a lifesaving modality that was in great demand for persons with severe COVID-19 infection. Although mobility of these patients has previously been safely reported anecdotally, there were no established guidelines to implement in a greatly expanded patient population, as occurred in the pandemic period. We describe the development and implementation of a program (Cannulate, Extubate, Ambulate) for team-based safe mobilization. Methods: The 3-phase protocol advances based on patient alertness/ability to actively participate. A physical therapist determined initial stage and progression and recommended mobility activities for carryover by nurses and/or ECMO specialists between skilled sessions. Results: The mobility program has been successfully implemented for 104 patients with severe COVID-19 without significant adverse events. Most patients (51%) ambulated while cannulated, and 60% were able to discharge directly home after hospitalization. Conclusions: This safe, effective program allowed extension of physical therapy goals in a highly complex patient population during a time of very high demand. Making early mobility a team goal enhanced buy-in, instead of relying exclusively on rehabilitation providers for mobilization. Utilization of the Cannulate, Extubate, Ambulate program may assist other programs to minimize complications of immobility in the ECMO population.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"164 - 170"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45390793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cardiovascular and Pulmonary Research: The Year (2022) in Review 心血管和肺部研究:年度(2022)回顾

Cardiopulmonary physical therapy journal Pub Date : 2023-06-01 DOI: 10.1097/cpt.0000000000000230

Paul Ricard, Stephen Cameron Ramsey, Hannah Fernald McHugh, Benjamin Michael Carrion

引用次数: 1

Implementing Standard Physical Therapy Guidelines With Patients Acutely After Single or Bilateral Lung Transplant: A Quality Improvement Project in the Hospital Setting 对单侧或双侧肺移植后急性患者实施标准物理治疗指南:医院环境中的质量改进项目

Cardiopulmonary physical therapy journal Pub Date : 2023-05-31 DOI: 10.1097/CPT.0000000000000227

C. Connors, T. Betts, Shelby Lawrence, Homer B. Walag, Julie Buchl, V. Kaza

{"title":"Implementing Standard Physical Therapy Guidelines With Patients Acutely After Single or Bilateral Lung Transplant: A Quality Improvement Project in the Hospital Setting","authors":"C. Connors, T. Betts, Shelby Lawrence, Homer B. Walag, Julie Buchl, V. Kaza","doi":"10.1097/CPT.0000000000000227","DOIUrl":"https://doi.org/10.1097/CPT.0000000000000227","url":null,"abstract":"Purpose: A quality initiative assessed standardized physical therapy (SPT) with lung transplant (LT) recipients in the hospital setting. The objective was to improve physical function evidenced by 6-minute walk distance (6MWD) and 30-second chair stand test (30s-CST). Methods: Standardized physical therapy was implemented with patients who underwent LT after March 8, 2021. Data were collected from July 19, 2019 to July 23, 2020 as baseline measures. Six-minute walk distance and 30s-CST were measured after hospital discharge. Results: After data collection, statistical analysis included descriptive statistics and a 2-sample t test with P-value <.05. The baseline group (BG) consisted of 19 patients that participated in traditional physical therapy (PT). The BG mean 6MWD was 891 feet, and mean 30s-CST was 4 repetitions. The SPT group consisted of 25 patients. The SPT group demonstrated a mean 6MWD of 1054 feet with a P-value of 0.0299 and mean 30s-CST of 7 repetitions with a P-value of 0.078. Conclusions: All functional outcome measures improved, with the 6MWD demonstrating statistical significance. Hospitalized LT recipients may demonstrate improved physical function with SPT; however, limited conclusions can be made.","PeriodicalId":72526,"journal":{"name":"Cardiopulmonary physical therapy journal","volume":"34 1","pages":"177 - 182"},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43939199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Putting It All Together: An Evidence-Based Guide to High-Intensity Interval Exercise Prescription for Patients With Complex Comorbidities 综合:复杂合并症患者高强度间歇运动处方循证指南

Cardiopulmonary physical therapy journal Pub Date : 2023-05-31 DOI: 10.1097/cpt.0000000000000224

Kaelee S. Brockway, L. Ayres, M. Shoemaker

引用次数: 1