| アブストラクト | INTRODUCTION: This retrospective cohort study aimed to investigate the effect of rehabilitation and without weekend therapy on Activities of daily living (ADL) and readmission in vertebral fracture patients aged 60 years and older. METHODS: The present study used a hospital-based database created by JMDC Inc. The JMDC hospital-based database is an epidemiological database that has been storing medical claims and Diagnosis Procedure Combination survey data. This study included 40,743 admitted patients aged 60 years or older who were admitted for rehabilitation purposes with a diagnosis of compression fracture of the thoracic and/or lumbar spine based on a previous diagnostic survey. We extracted the medical information from the database. Patients who received rehabilitation 7 days a week were classified into two groups: the "weekend rehabilitation group" and "nonweekend rehabilitation group." To reduce confounding effects related to differences in patient background, we used propensity score with multiple logistic regression models. Analysis of the JMDC database was conducted with the approval of the Institutional Review Board (approval number: 1228-1). Because all data were anonymized, informed consent was not required. RESULTS: Propensity score matching resulted in 13,790 cases being included in the analysis. Barthel index (BI) at discharge, change in BI, and readmission were significantly different between the weekend rehabilitation and nonweekend rehabilitation groups. Multiple logistic regression analysis suggested a reduced odds of readmission with weekend rehabilitation (odds ratio = 0.907, 95% confidence interval [CI] = 0.843-0.975, p-value = 0.008). Furthermore, greater changes in BI and BI at discharge were associated with the effect of weekend rehabilitation (unstandardized [B] = 3.922, 95% CI = 2.925-4.919), (unstandardized [B] = 3.512, 9% CI = 2.424-4.6), respectively. CONCLUSIONS: Weekend rehabilitation was considered as an important part of the treatment program to acquire ADL and to prevent readmission. |
|---|
| ジャーナル名 | Physiotherapy research international : the journal for researchers and clinicians in physical therapy |
|---|
| 投稿日 | 2023/10/1 |
|---|
| 投稿者 | Asahi, Ryoma; Kamo, Tomohiko; Yuguchi, Satoshi; Azami, Masato; Ogihara, Hirofumi; Momosaki, Ryo |
|---|
| 組織名 | School of Health Sciences, Japan University of Health Sciences, Hirasuka, Satte;City, Saitama, Japan.;Department of Rehabilitation, Gunma Paz University, Takasaki City, Gunma, Japan.;Division of Physical Therapy, Department of Rehabilitation, Faculty of Health;Sciences, Nagano University of Health and Medicine, Nagano City, Nagano, Japan.;Department of Rehabilitation Medicine, Mie University Graduate School of;Medicine, Tsu City, Mie, Japan. |
|---|
| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/37776524/ |
|---|
