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Research |
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Medical Rehabilitation
IT HealthTrack
conducts medical outcomes research on an ongoing basis for the purposes
of continuing quality improvement and program evaluation. We also
consult with other researchers to support their investigations,
particularly in the area of data collection. Thirdly, we collaborate
with a team of researchers to continually involve ourselves in studies
related to follow-up functional assessment, building our own structured
program of research.
Current Study:
American Heart Association. This
investigation involves a retrospective analysis using information from
three national databases to examine the relationship between overall
satisfaction and functional status of patients with stroke at three to
six months following inpatient medical rehabilitation. We are also
developing a set of patient satisfaction questions for persons with
stroke that is consistent with an established conceptual model of
satisfaction and reflects priorities identified by a national sample of
rehabilitation providers. Finally, we are examining the longitudinal
relationship between functional status, satisfaction and socioeconomic
variables in the sample.
Completed
Studies:
Department of Health and Human Services,
National Institutes of Health, National Institute of Child Health and
Human Development, Predicting Rehospitalization in Medical
Rehabilitation. Received funding for two years to systematically examine
a national data base of patients who have received inpatient medical
rehabilitation to determine specific variables or patterns associated
with incidents of rehospitalization.
National Institute of Disability and
Rehabilitation Research, (NIDRR), Project R7: Intermodal Agreement of
Telephone Follow- up Functional Assessment using the Functional
Independence Measure (FIM). Received funding to conduct a one-year study
(November 1993 - October, 1994) to examine the agreement between FIM
scores obtained by two different modes; telephone interview and
in-person assessment of subject functional performance.
Multiple
Sclerosis:
Dave Smith designs and
develops data management systems for major Multiple Sclerosis (MS)
treatment centers in the United States. These systems provide a
comprehensive method of tracking longitudinal data related to MS
diagnosis and treatment. The primary components of the system include a
data collection method, data base software and query and reporting
capabilities that allow investigators to systematically examine the
relationship among the many critical variables currently being studied
in MS research. The data collection method, provided through Teleform™
technology is a means of gathering large volumes of information and
reliably importing the information into databases. The database is
developed to receive, organize and archive data in preparation for
analysis. The query and reporting processes built into the system
provide a preliminary means for descriptive and non-parametric analysis
in preparation for rigorous statistical investigation.
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BIBLIOGRAPHY |
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Tooth, L.R., Ottenbacher,
K.J., Smith, P., Illig, S., Linn, R.T., Gonzales, V.A., Granger,
C.V. (in press). The impact of functional gain on satisfaction with
medical rehabilitation following stroke. American Journal of Physical
Medicine and Rehabilitation. (in press)
Tooth, L.R., Ottenbacher, K.J., Smith, P., Illig, S., Linn, R.T.,
Granger, C.V. (in press). Satisfaction with medical rehabilitaiton after
spinal cord injury. Spine.
Ottenbacher, K.J., Smith, P., Illig, S., Linn, R., Gonzales, V.,
Granger, C.V. (2003). Disparity in health services and outcomes for
persons with hip fracture and lower extremity joint replacement. Medical
Care, 41, 232-241.
Ottenbacher, K.J., Smith, P., Illig, S., Peek, M.K., Fielder, R.C.,
Granger, C.V. (2003). Hospital readmission of persons with hip fracture
following medical rehabilitation. Archives of Gerontology and
Geriatrics, 36, 15-22.
Ottenbacher, K.J., Smith, P., Illig, S., Fiedler, R., Gonzales,
V.A., Granger, C.V. (2002). Prediction of followup living setting in
patients with lower limb joint replacement. American Journal of Physical
Medicine and Rehabilitation, 81, 471-477.
Smith, P.M., Ottenbacher, K.J., Cranley, M., Dittmar, S., Illig, S.B.,
Granger, C.V. (2002). Predicting follow-up living setting in patients
with stroke. Archives of Physical Medicine and Rehabilitation, 83,
764-770.
Ottenbacher, K.J., Gonzales, V., Smith, P., Illig, S., Fiedler,
R., Granger, C.V. (2001). Satisfaction with medical rehabilitation in
patients with cerebrovascular impairment. American Journal of Physical
Medicine and Rehabilitation, 80, 876-884.
Ottenbacher, K.J., Smith, P., Illig, S., Linn, R., Fiedler, R.,
Granger, C.V. (2001). Comparison of logistic regression and neural
networks to predict rehospitalization in patients with stroke. Journal
of Clinical Epidemiology, 54, 1159-1165.
Ottenbacher, K.J., Smith, P., Illig, S., Gonzales, V., Fiedler,
R., Granger, C.V. (2001). Characteristics of persons rehospitlaized
following stroke rehabilitation. Archives of Physical Medicine and
Rehabilitation, 82, 1367-1374.
Ottenbacher, K.J., Smith, P., Illig, S., Fiedler, R., Granger,
C.V. (2000). Length of stay and hospital readmission for persons with
disabilities. American Journal of Public Health, 90, 1920-2.
Smith, P.M., Illig, S.B., Fiedler, R., Hamilton, B.B.,
Ottenbacher, K.J. (1996). Intemodal agreement of follow-up telephone
functional assessment using the functional independence measure in
patients with stroke. Archives of Physical Medicine and Rehabilitation,
77, 431-435.
Smith, P., Hamilton, B., & Granger, C.V. (1990). Functional
independence measure decision tree: The FONE FIM. Buffalo, NY: State
University of New York, Center for Functional Assessment Research.
Under Review:
Zhang, L., Abreu, B.C., Owen, S.V., Seale, G.S., Smith, P., Linn,
R.T., Granger, C.V., Ottebbacher, K.J. Impact of follow-up therapy on
rehabilitation outcomes in persons with traumatic brain injury. Archives
of Physical Medicine and Rehabilitation.
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6500 Main St., Suite 3 •
Williamsville, NY 14221 • Phone: 716.630.0063 • Fax: 716.630.6403
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