Predictive Factors of Inpatient Rehabilitation Stay and Post-Discharge Burden of Care After Joint Replacement for Hip and Knee Osteoarthritis: A Retrospective Study on 1678 Patients DOI Creative Commons
Federico Pennestrì, Valentina Tosto,

Catia Pelosi

и другие.

Applied Sciences, Год журнала: 2024, Номер 14(24), С. 11993 - 11993

Опубликована: Дек. 21, 2024

The global demand for end-stage hip and knee osteoarthritis surgical treatment is rising, as the need of optimal postoperative rehabilitation. Patient stratification key to provide rehabilitation professionals policy makers with real-life data in support early discharge planning continuous care provision. aim this retrospective, observational study was investigate which factors can predict burden at (BCD) inpatient length stay (LOS) based on a set demographic, societal, clinical organizational collected from high-volume orthopedic hospital. We included 45.306 variables 1678 patients. All were initially tested individually using linear regression model LOS logistic BCD. Variables that resulted significant (p < 0.05) subsequently considered single, comprehensive model, or respectively. Age, living family, occupational status, baseline Barthel Index duration surgery predictors Sex, primary secondary osteoarthritis, American Society Anesthesiologists score, body mass index, transfusion, biological risk, type anesthesia, day surgery, numeric pain rating scale cognitive function not. Including specific patient comorbidities, access technique chronic use pharmacological therapy improve predictive power model.

Язык: Английский

Developing Physiotherapy in Primary Health Care: A First Snapshot from the Italian Metropolitan City of Milan DOI Open Access
Claudio Cordani,

Sergio Perillo,

Davide Corbetta

и другие.

Healthcare, Год журнала: 2024, Номер 12(16), С. 1628 - 1628

Опубликована: Авг. 15, 2024

Introduction: Since the COVID-19 pandemic, Italian National Health Service (NHS) has been undergoing a structural reform shifting focus from hospital-centered care to smaller, intermediate, or primary health facilities closer community (e.g., hospitals and houses). This reorganization should include rehabilitation physiotherapy, but actual spread of these services is still unclear. Objective: study explored number characteristics community-based physiotherapy in Metropolitan City Milan (Italy). Methods: Between April May 2024, we distributed structured, anonymous online survey about users all Directors Social Care Professions Departments (DAPSS) Milan. We used descriptive statistics analyze houses offering services, specific intervention areas, access modalities. Results: Six out seven DAPSS completed (87%). Thirty-seven were reported area, with fourteen services. In most them, was reason for following general practitioner’s prescription. Five six responders that needs mainly assessed by specialists Physical Rehabilitation Medicine, physiotherapists involved assessment process two cases. Physiotherapists primarily handled phase, dealing orthopedic neurological conditions. noted additional initiatives focusing on prevention will be implemented. Conclusions: Physiotherapy are becoming available However, more efforts needed facilitate ensure tailored effective interventions, particularly preventive care. Future investigations help better define patients who can benefit this type care, sessions they need, what types intervention; it would also necessary communication network area allows doctors, professionals, informed possibility.

Язык: Английский

Процитировано

1

The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults DOI Open Access
Vera Stara, Margherita Rampioni, Adrian Alexandru Moșoi

и другие.

Healthcare, Год журнала: 2023, Номер 11(24), С. 3102 - 3102

Опубликована: Дек. 5, 2023

Gerontechnology is an interdisciplinary field of research involving gerontology and technology in order to help older adults identify slow down the effects age-related physical cognitive decline. It has enormous potential allow individuals remain their own homes improve quality life. This study aims assess impact a multicomponent platform, consisting ambient sensor, wearable devices, cloud application, as intervention terms usability acceptance primary outcomes well-being, life, self-efficacy secondary sample 25 aged over 65 after 21 days non-supervised usage at home. involved use mixed-methods approach, which both qualitative quantitative data were collected three different measurements. Overall, participants shared good engagement with integrated platform. The system achieved positive results acceptance, especially smartwatch. state complete well-being slightly improved period, whereas remained stable. demonstrates ability target users independently home environment: it strengthens idea that this ready for mainstream offers food thought developers who create products aging population.

Язык: Английский

Процитировано

3

Perspective Chapter: The Challenges of the Relationship between Doctors and Patients in the Digital Age DOI Creative Commons
Amílcar Barreto

IntechOpen eBooks, Год журнала: 2024, Номер unknown

Опубликована: Апрель 28, 2024

Remote healthcare is rapidly evolving with the integration of various technologies, including 5G and 6G connectivity, which will play a crucial role in next generation healthcare. This study aims to identify challenges doctor-patient relationship digital age, focusing on whether digitalization improves clinical care increases patient proximity. The methodology involves literature review, summarizing key articles, discussing results. findings suggest shift patient’s from passive assistance active consumption health information, promoting greater involvement maintenance care. It suggested that professionals patients should be educated overcome communication barriers encourage correct use internet for medical assistance. study’s includes narrative review summary table articles.

Язык: Английский

Процитировано

0

How Do the Determinants of Collaborative Consumption Influence Its Use in Healthcare? A Managerial Perspective DOI Creative Commons
Luigi Piper, Lucrezia Maria de Cosmo, Marco Benvenuto

и другие.

International Journal of Health Policy and Management, Год журнала: 2024, Номер 13, С. 8453 - 8453

Опубликована: Ноя. 18, 2024

The primary objective of this investigation is to scrutinize the underlying motivations that may prompt those responsible for health adopt models collaborative consumption (CC) as business innovation. Furthermore, study seeks assess congruence determinants influencing intention utilize CC in healthcare, comparing perspectives between and digital consumers.

Язык: Английский

Процитировано

0

Predictive Factors of Inpatient Rehabilitation Stay and Post-Discharge Burden of Care After Joint Replacement for Hip and Knee Osteoarthritis: A Retrospective Study on 1678 Patients DOI Creative Commons
Federico Pennestrì, Valentina Tosto,

Catia Pelosi

и другие.

Applied Sciences, Год журнала: 2024, Номер 14(24), С. 11993 - 11993

Опубликована: Дек. 21, 2024

The global demand for end-stage hip and knee osteoarthritis surgical treatment is rising, as the need of optimal postoperative rehabilitation. Patient stratification key to provide rehabilitation professionals policy makers with real-life data in support early discharge planning continuous care provision. aim this retrospective, observational study was investigate which factors can predict burden at (BCD) inpatient length stay (LOS) based on a set demographic, societal, clinical organizational collected from high-volume orthopedic hospital. We included 45.306 variables 1678 patients. All were initially tested individually using linear regression model LOS logistic BCD. Variables that resulted significant (p < 0.05) subsequently considered single, comprehensive model, or respectively. Age, living family, occupational status, baseline Barthel Index duration surgery predictors Sex, primary secondary osteoarthritis, American Society Anesthesiologists score, body mass index, transfusion, biological risk, type anesthesia, day surgery, numeric pain rating scale cognitive function not. Including specific patient comorbidities, access technique chronic use pharmacological therapy improve predictive power model.

Язык: Английский

Процитировано

0