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Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population
American Journal of Occupational Therapy (AJOT) , Volume 76(4) , Pgs. 7604205060.
NARIC Accession Number: J89984. What's this?
ISSN: 0272-9490.
Author(s): Casertano, Lorenzo O.; Bassile, Clare C.; Pfeffer, Jacqueline S.; Morrone, Theresa M.; Stein, Joel; Willey, Joshua Z.; Rao, Ashwini K..
Publication Year: 2022.
Number of Pages: 8.
Abstract: Study evaluated the utility of the Activity Measure for Post-Acute Care (AM-PAC) “6 Clicks” Daily Activity and Basic Mobility forms to determine the next level of rehabilitation after hospitalization for adults with stroke. Data were analyzed for 704 patients who were seen by a physical or occupational therapist, had a 6 Clicks Basic Mobility or Daily Activity score at initial evaluation, and who were discharged to home, an acute inpatient rehabilitation facility (IRF), or a subacute skilled nursing facility (SNF). Outcomes included length of stay and discharge destination. Analysis of variance and receiver operating characteristic curves were performed. Daily Activity scores were highest for home discharge, lower for IRF discharge, and lowest for SNF discharge; Basic Mobility showed a similar pattern. Cutoff values distinguishing home from further inpatient rehabilitation were 44.50 for Basic Mobility and 39.40 for Daily Activity scores (area under the curve [AUC] = .82 for both forms), with scores of 34.59 (AUC = 0.64) and 31.32 (AUC = 0.67) separating IRF from SNF, respectively. Findings demonstrate the utility of an outcome measure in the acute care setting that assists in planning discharge destination for patients with stroke. Therapists should incorporate 6 Clicks scores into their discharge planning.
Descriptor Terms: ACUTE CARE, CLINICAL MANAGEMENT, DAILY LIVING, MOBILITY, OUTCOMES, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Casertano, Lorenzo O., Bassile, Clare C., Pfeffer, Jacqueline S., Morrone, Theresa M., Stein, Joel, Willey, Joshua Z., Rao, Ashwini K.. (2022). Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population. American Journal of Occupational Therapy (AJOT) , 76(4), Pgs. 7604205060. Retrieved 10/25/2022, from REHABDATA database.
NARIC Accession Number: J89984. What's this?
ISSN: 0272-9490.
Author(s): Casertano, Lorenzo O.; Bassile, Clare C.; Pfeffer, Jacqueline S.; Morrone, Theresa M.; Stein, Joel; Willey, Joshua Z.; Rao, Ashwini K..
Publication Year: 2022.
Number of Pages: 8.
Abstract: Study evaluated the utility of the Activity Measure for Post-Acute Care (AM-PAC) “6 Clicks” Daily Activity and Basic Mobility forms to determine the next level of rehabilitation after hospitalization for adults with stroke. Data were analyzed for 704 patients who were seen by a physical or occupational therapist, had a 6 Clicks Basic Mobility or Daily Activity score at initial evaluation, and who were discharged to home, an acute inpatient rehabilitation facility (IRF), or a subacute skilled nursing facility (SNF). Outcomes included length of stay and discharge destination. Analysis of variance and receiver operating characteristic curves were performed. Daily Activity scores were highest for home discharge, lower for IRF discharge, and lowest for SNF discharge; Basic Mobility showed a similar pattern. Cutoff values distinguishing home from further inpatient rehabilitation were 44.50 for Basic Mobility and 39.40 for Daily Activity scores (area under the curve [AUC] = .82 for both forms), with scores of 34.59 (AUC = 0.64) and 31.32 (AUC = 0.67) separating IRF from SNF, respectively. Findings demonstrate the utility of an outcome measure in the acute care setting that assists in planning discharge destination for patients with stroke. Therapists should incorporate 6 Clicks scores into their discharge planning.
Descriptor Terms: ACUTE CARE, CLINICAL MANAGEMENT, DAILY LIVING, MOBILITY, OUTCOMES, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Casertano, Lorenzo O., Bassile, Clare C., Pfeffer, Jacqueline S., Morrone, Theresa M., Stein, Joel, Willey, Joshua Z., Rao, Ashwini K.. (2022). Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population. American Journal of Occupational Therapy (AJOT) , 76(4), Pgs. 7604205060. Retrieved 10/25/2022, from REHABDATA database.
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