Effects of weekend rehabilitation on vertebral compression fractures in the elderly.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-09-30 DOI:10.1002/pri.2049

Ryoma Asahi, Tomohiko Kamo, Satoshi Yuguchi, Masato Azami, Hirofumi Ogihara, Ryo Momosaki

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Abstract

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.

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周末康复对老年人椎体压缩性骨折的影响。

引言：这项回顾性队列研究旨在调查60岁及以上脊椎骨折患者的康复和无周末治疗对日常生活能力（ADL）和再入院的影响。方法：本研究采用JMDC股份有限公司创建的医院数据库。JMDC医院数据库是一个流行病学数据库，存储了医疗索赔和诊断程序组合调查数据。这项研究包括40743名60岁或60岁以上的入院患者，这些患者是为了康复而入院的，根据之前的诊断调查，他们被诊断为胸椎和/或腰椎压缩性骨折。我们从数据库中提取了医疗信息。每周7天接受康复治疗的患者分为两组：“周末康复组”和“非周末康复组。为了减少与患者背景差异相关的混杂效应，我们使用了倾向评分和多元逻辑回归模型。JMDC数据库的分析得到了机构审查委员会的批准（批准号：1228-1）。由于所有数据都是匿名的，因此不需要知情同意。结果：倾向性评分匹配导致13790例病例被纳入分析。出院时的Barthel指数（BI）、BI变化和再次入院在周末康复组和非周末康复组之间存在显著差异。多元逻辑回归分析表明，周末康复后再次入院的几率降低（比值比=0.907，95%置信区间[CI]=0.843-0.975，p值=0.008）。此外，出院时BI和BI的较大变化与周末康复的效果相关（非标准化[B]=3.922，95%CI=2.925-4.919），（非标准[B]=3.512，9%CI=2.424-4.6）。结论：周末康复被认为是获得ADL和防止再次入院的治疗计划的重要组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.