Biomedical subjects

S Levenkron

Publications and source records attributed to S Levenkron.

4 recordsLinked to original sources

PubMed2001

In-hospital referral source and rehabilitation outcome of elderly stroke patients.

To date, there is no data regarding the association of patient in-hospital referral source and stroke rehabilitation outcomes. The objective of the present study was to investigate the possible relation between in-hospital referring source, whether directly from an emergency ward (EW) or indirectly through a general medical ward (GMW), and the functional outcomes achieved during rehabilitation of such stroke patients. This retrospective observational study included 315 consecutive patients, admitted for rehabilitation following the onset of acute stroke. We compared those referred directly to us from the EW, with others referred from GMWs. Functional status was assessed by Functional Independence Measure method (FIM). Functional outcome was determined by total FIM gain (efficacy) and daily FIM gain (efficiency), both absolute and relative (to potential). The two study groups were similar in terms of age, gender, and diagnosis. FIM admission scores were higher at admission in patients admitted directly from the EW, compared with those referred from GMWs (72.5 +/- 27.5 and 62.7 +/- 25.6, respectively) but similar at discharge (77.4 +/- 28.8 and 80.7 +/- 32.5, respectively). Length of stay (LOS) in the GMW group was longer as compared to the EW group. Efficacy was significantly associated with being married, younger age, hemiplegia, and admission scores between 40-60. Both absolute and relative efficacy and efficiency rates of rehabilitation were significantly lower among patients referred from the EW. We conclude that in-hospital referral source is associated with different rehabilitation outcomes in stroke patients. Direct admission of stroke patients from the EW is associated with lower rehabilitation efficacy and efficiency rates, compared with those admitted from GMWs. The findings support the implementation of different selection methods, underscoring the need of both clinicians and administrators to consider the in-hospital referral source as a potential factor associated with stroke rehabilitation outcome.

Adult↗

PubMed2000

Stigmata: part I.

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Anorexia Nervosa↗

PubMed1994

[Functions of a geriatric facility].

A geriatric facility in a general hospital is a relatively new service, not clearly defined and varying in character from hospital to hospital. A geriatric rehabilitation department was opened at this hospital in 1973 and has treated more than 1,500 patients. It was originally set up to relieve pressure on the general and surgical wards. It admitted elderly patients who required additional treatment or who could not be discharged due to inability to function independently without a suitable support framework. The department has since focused increasingly on rehabilitation of elderly patients following CVA or fracture of the hip, with increasing emphasis on physiotherapy. At the same time, a geriatric facility system of work was consolidated, whose features are a multidisciplinary team, a thorough study of the patient from many aspects, and search for medical, nursing and rehabilitation solutions best suited to the patient's particular needs. Problems encountered in those admitted have recently changed, and patient turnover is now more rapid and duration of hospitalization has shortened. The department had been transformed from a long-stay ward treating chronic illness to one giving intensive treatment following an acute crisis.

Aged↗

PubMed1994

[Transient unresponsiveness of the elderly].

An 81-year-old woman was admitted for recurrent attacks of transient unresponsiveness. There was no evidence for electrolyte or metabolic disorders, arrhythmia or atypical seizures. We found reports of 5 such patients who suffered from transient unresponsiveness with no specific cause found despite thorough investigation. Suggested causes have been diffuse ischemia or a sleeping disorder. We think these attacks may occur as a result of discontinuity between the reticular formation and the cortex. One thing these patient have in common is a history of recurrent transient ischemic attacks.

Aged↗