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用于新型轮椅评估的远程康复:患者特征的回顾性研究

Telerehabilitation for New Wheelchair Evaluations: A Retrospective Study of Patient Characteristics.

作者信息

McClammer Chelsea, Choma Elizabeth A, Schein Richard M, Schmeler Mark R, Pramana Gede, Gliniak Jake, Morrow Corey

机构信息

Department of Occupational Therapy, Whitworth University, Spokane, Washington, USA.

Department of Physical Therapy, Whitworth University, Spokane, Washington, USA.

出版信息

Int J Telerehabil. 2024 Jun 28;16(1):e6630. doi: 10.5195/ijt.2024.6630. eCollection 2024.

Abstract

The purpose of this paper was to describe the clinical and personal factors of persons with disabilities (PwD) seeking a new wheelchair evaluation via telerehabilitation compared to in-person appointments. This retrospective cohort analysis used the Functional Mobility Assessment and Uniform Dataset, which is a nationwide registry with ongoing enrollment at 31 clinical sites of PwD seeking a new wheelchair evaluation. PwD were stratified into either a Telerehabilitation Group or In-Person Group. There were 1,669 PwD in the Telerehabilitation Group and 10,284 in the In-Person Group. The Telerehabilitation Group had a higher mean age and higher percentage of Progressively Acquired Disabilities than the In-Person Group. This project lays the groundwork for future comparative effectiveness studies, which may influence telerehabilitation reimbursement policies for wheelchair services.

摘要

本文旨在描述通过远程康复寻求新轮椅评估的残疾人与亲自预约者相比的临床和个人因素。这项回顾性队列分析使用了功能移动性评估和统一数据集,这是一个全国性登记处,有31个临床地点正在对寻求新轮椅评估的残疾人进行登记。残疾人被分为远程康复组或亲自就诊组。远程康复组有1669名残疾人,亲自就诊组有10284名。远程康复组的平均年龄高于亲自就诊组,渐进性获得性残疾的比例也更高。该项目为未来的比较有效性研究奠定了基础,这可能会影响轮椅服务的远程康复报销政策。

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