癌症患者在急症护理环境中职业治疗服务的利用及其对再入院的影响

IF 3.6 2区 医学 Q1 REHABILITATION
Christine McNichols, Alicia Peterson, Stacey Reynolds
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引用次数: 0

摘要

目的探讨在急症护理机构接受职业治疗(OT)的癌症诊断患者出院后30天内再入院的可能性是否低于未接受职业治疗的患者。在调整性别、种族、民族、年龄、入院诊断、癌症类型、癌症分期、出院地点、生活状况、疼痛程度和保险类型后,确定在急症护理环境中接受职业治疗的癌症诊断患者出院后30天内再入院的可能性是否低于未接受职业治疗的患者。本研究为回顾性观察性研究。分析患者病历5年(2015年1月1日至2020年1月1日)的二次数据。数据分析来自位于弗吉尼亚州里士满的梅西NCI综合癌症中心,该中心是弗吉尼亚联邦大学(VCU)卫生系统的一部分。梅西是一个大型的城市学术医疗中心,提供住院和门诊服务。采用未调整logistic回归分析6614例患者,采用调整logistic回归分析1920例患者。采用完整的病例分析。纳入标准包括:癌症诊断患者,年龄≥18岁,居住在住房环境中,住院患者。干预措施研究分析了门诊服务对再入院状态的影响,门诊服务通过患者病历中至少一个门诊CPT代码的账单来识别。本研究分析了出院后30天内再次住院的可能性。结果与未接受门诊治疗的癌症患者相比,接受门诊治疗的患者30天再入院的风险有统计学意义上的显著降低。在未经调整的逻辑回归中,接受过OT服务的癌症患者在30天内再入院的可能性比没有接受过OT服务的患者低33.5%。在对患者健康相关因素进行调整后,接受过OT服务的癌症患者再入院的可能性比没有接受过OT服务的患者低22.2%。结论:本研究结果旨在为癌症诊断住院患者在个人和卫生系统层面上的门诊服务的益处提供知识体系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilization of Occupational Therapy Services for Patients with Cancer in an Acute Care Setting and Effects on Readmission

Objectives

To investigate if patients with cancer diagnoses who received occupational therapy (OT) services in an acute care setting had a lower likelihood of readmission within 30 days status post discharge than patients who did not receive OT services. To identify if patients with cancer diagnoses who received OT services in an acute care setting had a lower likelihood of readmission within 30 days status post discharge than patients who did not receive occupational therapy services after adjusting for sex, race, ethnicity, age, admitting diagnosis, cancer type, cancer stage, discharge location, living situation, pain levels, and insurance type.

Design

This was a retrospective observational study. Secondary data from patient medical records from a 5-year period (January 1, 2015, to January 1, 2020) were analyzed.

Setting

The data was analyzed from a NCI Comprehensive Cancer Center, Massey, located in Richmond, Virginia, a part of the Virginia Commonwealth University (VCU) Health system. Massey is a large, urban, academic medical center providing inpatient and outpatient services.

Participants

There were 6614 patients analyzed in an unadjusted logistic regression and 1920 patients analyzed in an adjusted logistic regression. Complete case analysis was used. Inclusion criteria consisted of: patients with a cancer diagnosis, persons aged ≥18 years, residing in a housing environment, and having an inpatient hospital stay.

Interventions

The study analyzed the effect of OT services on readmission status with OT services identified by the billing of at least one OT CPT code in the patient's chart.

Main Outcome Measures

The study analyzed the likelihood of a hospital readmission within 30 days of discharge.

Results

Patients who received OT services had a statistically significant decrease in their risk of a 30-day hospital readmission compared with patients with cancers who did not receive OT services. Patients with cancer who had OT services were 33.5% less likely to readmit within 30 days compared with a patient who did not have OT services in the unadjusted logistic regression. After adjusting for patient health-related factors, patients with cancer who had OT services were 22.2% less likely to readmit to a hospital when compared with a patient who did not have OT services.

Conclusions

The results are intended to contribute to the body of knowledge on the benefits of OT services on both individual and health systems-based levels for hospitalized patients with cancer diagnoses.

Disclosures

none.
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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