Effectiveness of Early Rehabilitation for Vertebral Compression Fractures: A Retrospective Cohort Study.
Journal
Journal of geriatric physical therapy (2001)
ISSN: 2152-0895
Titre abrégé: J Geriatr Phys Ther
Pays: United States
ID NLM: 101142169
Informations de publication
Date de publication:
Historique:
pubmed:
14
4
2020
medline:
20
8
2021
entrez:
14
4
2020
Statut:
ppublish
Résumé
Most patients become physically inactive after vertebral compression fracture and thus need help for early mobilization. This study sought to investigate the effect of early rehabilitation on activities of daily living in patients following acute vertebral compression fracture. We conducted this retrospective cohort study with a hospital-based database created by the Japan Medical Data Center and comprising data from a Diagnosis Procedure Combination survey from more than 100 acute care hospitals across Japan. Data of consecutive inpatients hospitalized because of thoracic and/or lumbar compression fractures from 2014 to 2018 were extracted. We compared characteristics and outcomes between patients who underwent early rehabilitation (early rehabilitation group) and those who did not undergo rehabilitation (no rehabilitation group). The primary outcome measure was Barthel Index improvement. After applying exclusion criteria, a total of 8493 eligible patients with acute vertebral compression fracture were included in this study. The unadjusted data showed significantly greater Barthel Index improvement (72.5% vs 60.3, P < .001) and a higher rate of discharge to home (82.9% vs 77.4, P < .001) among patients in the early rehabilitation group compared with the no rehabilitation group. After adjustment by propensity score analysis, significant between-group differences were found. Early rehabilitation could possibly be a feasible alternative for maintenance of the Barthel Index in patients with acute vertebral compression fracture.
Sections du résumé
BACKGROUND AND PURPOSE
Most patients become physically inactive after vertebral compression fracture and thus need help for early mobilization. This study sought to investigate the effect of early rehabilitation on activities of daily living in patients following acute vertebral compression fracture.
METHODS
We conducted this retrospective cohort study with a hospital-based database created by the Japan Medical Data Center and comprising data from a Diagnosis Procedure Combination survey from more than 100 acute care hospitals across Japan. Data of consecutive inpatients hospitalized because of thoracic and/or lumbar compression fractures from 2014 to 2018 were extracted. We compared characteristics and outcomes between patients who underwent early rehabilitation (early rehabilitation group) and those who did not undergo rehabilitation (no rehabilitation group). The primary outcome measure was Barthel Index improvement.
RESULTS
After applying exclusion criteria, a total of 8493 eligible patients with acute vertebral compression fracture were included in this study. The unadjusted data showed significantly greater Barthel Index improvement (72.5% vs 60.3, P < .001) and a higher rate of discharge to home (82.9% vs 77.4, P < .001) among patients in the early rehabilitation group compared with the no rehabilitation group. After adjustment by propensity score analysis, significant between-group differences were found.
CONCLUSION
Early rehabilitation could possibly be a feasible alternative for maintenance of the Barthel Index in patients with acute vertebral compression fracture.
Identifiants
pubmed: 32282616
pii: 00139143-202107000-00003
doi: 10.1519/JPT.0000000000000267
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
139-143Informations de copyright
Copyright © 2020 APTA Geriatrics, An Academy of the American Physical Therapy Association.
Déclaration de conflit d'intérêts
Conflicts of Interest and Source of Funding: Ryo Momosaki received a grant (15K01395) from the Japan Society for the Promotion of Science. For the remaining authors none were declared.
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