Status of physiatry and physical medicine and rehabilitation departments in adult level I trauma centers

Melchiorre, Philip J.

doi:10.1016/s0003-9993(98)90210-6

Cited by 16 publications

(3 citation statements)

References 3 publications

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“…One of the largest studies to examine the provision of PM&R acute care consultations in the United States was in 1998. Melchiorre 5 surveyed PM&R medical directors in 164 US level I trauma centers and reported that 91% of PM&R departments provided consultations for trauma patients. Melchiorre also reported that in most US trauma centers an individualized referral was required for PM&R to assess trauma patients (as opposed to having PM&R “auto consulted” on all admissions).…”

Section: Discussionmentioning

confidence: 99%

Academic Physical Medicine and Rehabilitation Acute Care Consultations

MacDonald

Robinson

2018

Can. J. Neurol. Sci.

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The objective of this study was to describe the provision of Physical Medicine and Rehabilitation acute care consultations in the United States and Canada. Physical Medicine and Rehabilitation department chairs/division directors at academic centers in Canada and the United States were mailed an 18-item questionnaire. Seven of 13 (54%) Canadian and 26/78 (33%) American surveys were returned. A majority of Canadian and American academic institutions provide acute care consultations; however, there were some national differences. American institutions see larger volumes of patients, and more American respondents indicated using a dedicated acute care consultation service model compared with Canadians.

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Section: Discussionmentioning

confidence: 99%

Academic Physical Medicine and Rehabilitation Acute Care Consultations

MacDonald

Robinson

2018

Can. J. Neurol. Sci.

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“…At universityaffiliated hospitals with a physical medicine and rehabilitation (PM&R) residency training program, the rehabilitation consultation service may be a distinct organizational unit with dedicated physician coverage, while at smaller community hospitals, this service may entail informal evaluations by an attending physiatrist or by a nurse liaison working with a physiatrist. There is a paucity of research examining PM&R consultation services in the acute-care hospital setting, and the few studies completed have only evaluated consultation services in a university hospital setting (Melchiorre, 1998;Musick, Nickerson, McDowell, & Gater, 2003). In a large retrospective analysis, Musick et al found that <10% of all hospitalized patients received physiatric consultations.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Rehabilitation Medicine Consultant Recommendations in Acute Care: A Pilot Evaluation

Kortebein

Goodwin²,

Arant³

2012

Rehabilitation Nursing

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Limited data exist regarding rehabilitation medicine consultation services in the acute-care hospital setting. We examined implementation rates of rehabilitation consultant recommendations in a university hospital with either a rotating physician service or a single advanced-practice nurse. We performed a retrospective chart review of all patients evaluated by a rehabilitation consultation service for 2 months at a single 300-bed hospital: The first month with rotating physicians (MP) and the second month with a single advanced-practice nurse (SP). Total consultations/recommendations were similar during the 2 months (MP-63/251, SP-68/240, respectively). The overall implementation rate was greater during the month with the SP (SP-74%, MP-47%), although implementation was similar for discharge disposition (MP-82%, SP-85%). In this university hospital, rehabilitation consultation recommendations were more frequently implemented with a single-provider consultation service. Further study of rehabilitation consultation services is needed, including evaluation of nonphysician consultants.

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“…They are often in a good position to highlight to politicians and planners what needs to be done to improve standards of care overall (Gentleman, 1996). There is also a real issue about how well acute and rehabilitation services are linked (Melchiorre, 1998).…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation after traumatic brain injury

Gentleman

2001

Trauma

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Clinical and political responses to the worldwide epidemic of traumatic brain injury (TBI) need to recognize that the quality of outcome depends on both phases of treatment: acute care and rehabilitation. The growing scientific evidence for neural repair and regeneration has supported growing interest about what rehabilitation can offer to restore function and independence to disabled individuals. Clinicians who treat acutely head-injured patients should develop some understanding of the reality and potential of rehabilitation, to put their own work into perspective. This article reviews the common problems that follow TBI, unpacks the rehabilitation box to see what can be done about them, and considers the scientific evidence for the efficacy of the rehabilitation process.

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Status of physiatry and physical medicine and rehabilitation departments in adult level I trauma centers

Cited by 16 publications

References 3 publications

Academic Physical Medicine and Rehabilitation Acute Care Consultations

Academic Physical Medicine and Rehabilitation Acute Care Consultations

Implementation of Rehabilitation Medicine Consultant Recommendations in Acute Care: A Pilot Evaluation

Rehabilitation after traumatic brain injury

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