The Impact of Level of Physical Therapist Assistant Involvement on Patient Outcomes Following Stroke
| Autor: | Jennifer Biggs |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population MEDLINE Physical Therapy Sports Therapy and Rehabilitation Affect (psychology) 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care Health care Humans Medicine 030212 general & internal medicine Propensity Score education Stroke Aged education.field_of_study Rehabilitation business.industry Stroke Rehabilitation Length of Stay medicine.disease Patient Discharge Nursing Homes Treatment Outcome Physical Therapist Assistants Propensity score matching Physical therapy Regression Analysis Female Observational study business 030217 neurology & neurosurgery |
| Zdroj: | Physical Therapy. 100:2165-2173 |
| ISSN: | 1538-6724 0031-9023 |
| DOI: | 10.1093/ptj/pzaa158 |
| Popis: | Objective This study investigates if higher utilization of physical therapist assistants adversely affects patient outcomes in the acute rehabilitation setting for patients following a cerebrovascular accident (CVA). Methods Participants were admitted to 1 of 5 inpatient rehabilitation facilities following a CVA from 2008 to 2010. High physical therapist assistant use was defined as ≥20% of the physical therapist visits being provided by the physical therapist assistant for an episode of care. Multivariable regression techniques examined differences in functional outcome, discharge location, and length of stay between high and low physical therapist assistant use groups. Propensity scoring methods supplemented findings of the regression analyses. Results Of the 1561 participants, 496 (32%) had high physical therapist assistant involvement. Baseline participant characteristics such as age, sex, baseline motor function, and comorbidities did not differ between high and low physical therapist assistant use groups. After adjusting for patient characteristics, rehabilitation facility, and year, higher physical therapist assistant use did not adversely affect functional outcome or length of stay. Fewer conclusions can be drawn regarding discharge location, although there was no significant difference in discharge location between groups with high and low physical therapist assistant utilization. Propensity scoring methods supported the findings of the regression analyses. Conclusions Higher physical therapist assistant involvement in the rehabilitation of patients following CVA did not adversely affect functional outcome, increase length of stay, or reduce the likelihood of discharge to home from an inpatient rehabilitation facility. Impact The results demonstrate the value of the physical therapist assistant in the provision of physical therapy for patients with stroke in the inpatient rehabilitation setting. Higher involvement of the physical therapist assistant may provide cost savings while maintaining patient outcomes for this setting and population. |
| Databáze: | OpenAIRE |
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