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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Frequency and Reasons for Return to the Primary Acute Care Service among Lymphoma Patients Undergoing Inpatient Rehabilitation</title><author><name sortKey="Fu, Jack B" sort="Fu, Jack B" uniqKey="Fu J" first="Jack B." last="Fu">Jack B. Fu</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Lee, Jay" sort="Lee, Jay" uniqKey="Lee J" first="Jay" last="Lee">Jay Lee</name><affiliation><nlm:aff id="A2">Department of Educational Psychology, University of Houston</nlm:aff></affiliation></author><author><name sortKey="Smith, Dennis W" sort="Smith, Dennis W" uniqKey="Smith D" first="Dennis W." last="Smith">Dennis W. Smith</name><affiliation><nlm:aff id="A2">Department of Educational Psychology, University of Houston</nlm:aff></affiliation></author><author><name sortKey="Shin, Ki" sort="Shin, Ki" uniqKey="Shin K" first="Ki" last="Shin">Ki Shin</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Guo, Ying" sort="Guo, Ying" uniqKey="Guo Y" first="Ying" last="Guo">Ying Guo</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Bruera, Eduardo" sort="Bruera, Eduardo" uniqKey="Bruera E" first="Eduardo" last="Bruera">Eduardo Bruera</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24384360</idno><idno type="pmc">4077984</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4077984</idno><idno type="RBID">PMC:4077984</idno><idno type="doi">10.1016/j.pmrj.2013.12.009</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">003568</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003568</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Frequency and Reasons for Return to the Primary Acute Care Service among Lymphoma Patients Undergoing Inpatient Rehabilitation</title><author><name sortKey="Fu, Jack B" sort="Fu, Jack B" uniqKey="Fu J" first="Jack B." last="Fu">Jack B. Fu</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Lee, Jay" sort="Lee, Jay" uniqKey="Lee J" first="Jay" last="Lee">Jay Lee</name><affiliation><nlm:aff id="A2">Department of Educational Psychology, University of Houston</nlm:aff></affiliation></author><author><name sortKey="Smith, Dennis W" sort="Smith, Dennis W" uniqKey="Smith D" first="Dennis W." last="Smith">Dennis W. Smith</name><affiliation><nlm:aff id="A2">Department of Educational Psychology, University of Houston</nlm:aff></affiliation></author><author><name sortKey="Shin, Ki" sort="Shin, Ki" uniqKey="Shin K" first="Ki" last="Shin">Ki Shin</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Guo, Ying" sort="Guo, Ying" uniqKey="Guo Y" first="Ying" last="Guo">Ying Guo</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author><author><name sortKey="Bruera, Eduardo" sort="Bruera, Eduardo" uniqKey="Bruera E" first="Eduardo" last="Bruera">Eduardo Bruera</name><affiliation><nlm:aff id="A1">Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</nlm:aff></affiliation></author></analytic><series><title level="j">PM & R : the journal of injury, function, and rehabilitation</title><idno type="ISSN">1934-1482</idno><idno type="eISSN">1934-1563</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To assess the frequency and risk factors for return to the primary acute care service among lymphoma patients undergoing inpatient rehabilitation.</p></sec><sec id="S2"><title>Design</title><p id="P2">Retrospective study.</p></sec><sec id="S3"><title>Setting</title><p id="P3">Tertiary referral-based cancer center.</p></sec><sec id="S4"><title>Patients</title><p id="P4">All patients with a history of lymphoma admitted to inpatient rehabilitation between October 1, 2003 and January 30, 2013.</p></sec><sec id="S5"><title>Main Outcome Measures</title><p id="P5">Items analyzed from patient records included return to the primary acute care service with demographic information, lymphoma characteristics, medications, hospital admission characteristics, and laboratory values.</p></sec><sec id="S6"><title>Results</title><p id="P6">143 unique patient admissions were analyzed. 54/143 (38%) of lymphoma inpatient rehabilitation admissions returned to the primary acute care service. However, 16/54 (30%) returned due to needing additional chemotherapy. Excluding patients who returned to the primary acute care service for chemotherapy, statistically significant or approaching statistically significant factors (p<.10) associated with return to the primary acute care service included a creatinine greater than or equal to 1.3 milligrams/deciliter (mg/dL) (p=0.0002), male sex (p=0.001), history of hematopoietic stem cell transplant (p=0.0355), and presence of intravenous antifungal agent (p=0.0717). Of those transferred back to the primary acute care service; 13/38 (34%) discharged directly home, 10/38 (26%) died in the hospital, 7/38 (18%) transferred to a subacute rehabilitation facility, and 4/38 (11%) transferred to inpatient rehabilitation.</p></sec><sec id="S7"><title>Conclusions</title><p id="P7">Chemotherapy was the most common reason for return to the primary acute care service. When excluding patients who returned for chemotherapy, lymphoma patients who are male, who have had a hematopoietic stem cell transplant, and have a creatinine greater than or equal to 1.3 mg/dL demonstrated increased risk for return to the primary acute care service.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101491319</journal-id><journal-id journal-id-type="pubmed-jr-id">36042</journal-id><journal-id journal-id-type="nlm-ta">PM R</journal-id><journal-id journal-id-type="iso-abbrev">PM R</journal-id><journal-title-group><journal-title>PM & R : the journal of injury, function, and rehabilitation</journal-title></journal-title-group><issn pub-type="ppub">1934-1482</issn><issn pub-type="epub">1934-1563</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24384360</article-id><article-id pub-id-type="pmc">4077984</article-id><article-id pub-id-type="doi">10.1016/j.pmrj.2013.12.009</article-id><article-id pub-id-type="manuscript">NIHMS552853</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Frequency and Reasons for Return to the Primary Acute Care Service among Lymphoma Patients Undergoing Inpatient Rehabilitation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Fu</surname><given-names>Jack B.</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Jay</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Smith</surname><given-names>Dennis W.</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Shin</surname><given-names>Ki</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Guo</surname><given-names>Ying</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Bruera</surname><given-names>Eduardo</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center</aff><aff id="A2"><label>2</label>Department of Educational Psychology, University of Houston</aff><author-notes><corresp id="cor1"><label>*</label><bold>Correspondence:</bold> Jack Fu, M.D., Department of Palliative Care and Rehabilitation Medicine, Unit 1414, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030; Tel: 713-792-6085; Fax: 713-792-6092; <email>jfu@mdanderson.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>2</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>31</day><month>12</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>7</month><year>2015</year></pub-date><volume>6</volume><issue>7</issue><fpage>629</fpage><lpage>634</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.pmrj.2013.12.009</pmc-comment>
<permissions><copyright-statement>© 2013 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Objective</title><p id="P1">To assess the frequency and risk factors for return to the primary acute care service among lymphoma patients undergoing inpatient rehabilitation.</p></sec><sec id="S2"><title>Design</title><p id="P2">Retrospective study.</p></sec><sec id="S3"><title>Setting</title><p id="P3">Tertiary referral-based cancer center.</p></sec><sec id="S4"><title>Patients</title><p id="P4">All patients with a history of lymphoma admitted to inpatient rehabilitation between October 1, 2003 and January 30, 2013.</p></sec><sec id="S5"><title>Main Outcome Measures</title><p id="P5">Items analyzed from patient records included return to the primary acute care service with demographic information, lymphoma characteristics, medications, hospital admission characteristics, and laboratory values.</p></sec><sec id="S6"><title>Results</title><p id="P6">143 unique patient admissions were analyzed. 54/143 (38%) of lymphoma inpatient rehabilitation admissions returned to the primary acute care service. However, 16/54 (30%) returned due to needing additional chemotherapy. Excluding patients who returned to the primary acute care service for chemotherapy, statistically significant or approaching statistically significant factors (p<.10) associated with return to the primary acute care service included a creatinine greater than or equal to 1.3 milligrams/deciliter (mg/dL) (p=0.0002), male sex (p=0.001), history of hematopoietic stem cell transplant (p=0.0355), and presence of intravenous antifungal agent (p=0.0717). Of those transferred back to the primary acute care service; 13/38 (34%) discharged directly home, 10/38 (26%) died in the hospital, 7/38 (18%) transferred to a subacute rehabilitation facility, and 4/38 (11%) transferred to inpatient rehabilitation.</p></sec><sec id="S7"><title>Conclusions</title><p id="P7">Chemotherapy was the most common reason for return to the primary acute care service. When excluding patients who returned for chemotherapy, lymphoma patients who are male, who have had a hematopoietic stem cell transplant, and have a creatinine greater than or equal to 1.3 mg/dL demonstrated increased risk for return to the primary acute care service.</p></sec></abstract><kwd-group><kwd>Lymphoma</kwd><kwd>Inpatient</kwd><kwd>Rehabilitation</kwd><kwd>Cancer</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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