Effectiveness and proportion of the patients in the intermediate care project of physical therapy department, Amnat charoen hospital
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Abstract
Background: Physical therapy department, Amnat Charoen Hospital has participated in the intermediate care (IMC) project since the year 2020, but without evidence to direct the decision-making to improve IMC service for the target patients.
Objective: To assess the proportion of the patients, duration of hospital stays, and IMC effectiveness of physical therapy department, Amnat Charoen Hospital.
Methods: This research retrospectively reviewed medical records during the past fiscal year, including characteristics and the number of patients, length of hospital stays, and BI scores on the first day of physical therapy treatments, the first IMC day, and the last day prior to IMC discharge.
Results: Of all 87 eligible patients’ records, most of them were patients with stroke (n=65, 74.7%), followed by those with hip fracture (n=15, 17.2%), spinal cord injury (n=4, 4.6%), and traumatic brain injury (n=3, 3.5%). All patients had average hospital stays of 1–2 weeks. After completing the IMC project, their average BI scores increased from 1.75 – 7.13 to 13.33 – 17.06 which was equivalent to the increment of 7.67 – 12.00 scores (p<0.001). Additionally, 18 patients achieved the full BI score of 20 before completing the 20 treatment sessions, These patients continued the rehabilitation due to the potential of improvement but the BI scores could not reflect changes of these patients.
Conclusion: The findings confirm the need of IMC services due to a short in-patient length of stay. Continuous without ceiling effects should be additionally included to clearly reflect the IMC effectiveness.
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References
Eskandari M, Alizadeh Bahmani AH, Mardani-Fard HA, Karimzadeh I, Omidifar N, Peymani P. Evaluation of factors that influenced the length of hospital stay using data mining techniques. BMC Med Inform Decis Mak. 2022;22(1):280.
Marfil-Garza BA, Belaunzarán-Zamudio PF, Gulias-Herrero A, Zuñiga AC, Caro-Vega Y, Kershenobich-Stalnikowitz D, et al. Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico. PloS one. 2018; 13(11): e0207203.
Rotter T, Kinsman L, James EL, Machotta A, Gothe H, Willis J, et al. Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database Syst Rev. 2010(3): CD006632.
Health administration division. Guideline for intermediate care for medical personnel according to the health service plan. [online]. 2019:13-5. Available from: https://phdb.moph.go.th/main/index/detail/30103 [cited 30 January 2024].
Bureau of Elderly Health. Caring for the elderly of intermediate care in community guidelines. Nonthaburi: Ministry of Public Health; 2020:2-3
Namchandee A. Outcomes of intermediate rehabilitative care in sub-acute stroke patients. Buddhachinaraj Med J 2021; 38(3): 356-67.
Suwannachat P, Pansuvannajit P, Jiraporncharoen W. An intermediate care service to improve activities of daily living in patients with stroke, spinal cord injury and traumatic brain injury in Sarapee Borvorn Patthana Hospital, Chiang Mai Province. LPHJ 2021; 17(2): 78-90.
Ketsiri W. Outcomes of intermediate care service in stroke rehabilitation patients at a hospital in Ubon Ratchathani Province. Srinagarind Med J. 2022; 37(6): 610-18.
Boontem T, Niyomwan A, Kongmeaungpak J, Suksrisiriwat J. Outcomes of home visit and rehabilitation process of intermediate care on stroke patients in Mueang District Surin. MJSSBH. 2022; 37(3): 519-29.
Mariana de Aquino Miranda J, Mendes Borges V, Bazan R, José Luvizutto G, Sabrysna Morais Shinosaki J. Early mobilization in acute stroke phase: a systematic review. Top Stroke Rehabil. 2023;30(2):157-68.
Hsieh YW, Wang CH, Wu SC, Chen PC, Sheu CF, Hsieh CL. Establishing the minimal clinically important difference of the Barthel Index in stroke patients. Neurorehabil Neural Repair. 2007;21(3):233-8.
Unnanuntana A, Jarusriwanna A, Nepal S. Validity and responsiveness of Barthel index for measuring functional recovery after hemiarthroplasty for femoral neck fracture. Arch Orthop Trauma Surg. 2018;138(12):1671-7.
Amatachaya S. Clinical and research assessment and monitoring tools for patients with spinal cord injury and their psychometric properties. In Amatachaya S, (Ed). Physical therapy and spinal cord injury: an integration of research and clinical experience. Khon Kaen: Khon Kaen university printing house 2020:109-68.
