Evidence map›Paper›PMID 29623154›Full record

ArticleThe Neurohospitalist2018

Choosing Wisely Together: Physical and Occupational Therapy Consultation for Acute Neurology Inpatients.

John C Probasco, Annette Lavezza, Andre Cassell, Tenise Shakes, Angie Feurer, Holly Russell, Hilary Sporney, Margie Burnett, Chepkorir Maritim, Victor Urrutia and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Neurohospitalist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Preliminary feasibility and development of a heart rate-based mobility and activity scale for hospitalized older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

John C ProbascoDepartment of Neurology, Johns Hopkins Hospital, Baltimore, MD, USA.
Annette LavezzaDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, USA.
Andre CassellDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, USA.
Tenise ShakesDepartment of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Angie FeurerDepartment of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Holly RussellDepartment of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Hilary SporneyDepartment of Quality Improvement, Johns Hopkins Hospital, Baltimore, MD, USA.
Margie BurnettDepartment of Neurosciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Chepkorir MaritimDepartment of Quality Improvement, Johns Hopkins Hospital, Baltimore, MD, USA.
Victor UrrutiaDepartment of Neurology, Johns Hopkins Hospital, Baltimore, MD, USA.
H Adrian PuttgenDepartment of Neurology, Johns Hopkins Hospital, Baltimore, MD, USA.
Michael FriedmanDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, USA.
Erik H HoyerDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, USA.
Johns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough many hospitalized neuroscience patients have physical and occupational therapy (rehabilitation) needs, patients with none or minimal physical impairments frequently receive rehabilitation consultation, diverting from patients with greatest need.

methodsA multidisciplinary team on the general and cerebrovascular neurology acute inpatient services mapped the rehabilitation consultation process, resulting in multiple implemented interventions including physician education on appropriate acute rehabilitation consultations, modification of multidisciplinary rounds, and discussion of patient rehabilitation needs throughout hospitalization. Nurses used the same functional impairment measurement tool used by physical and occupational therapists, the Activity Measure for Post-Acute Care Inpatient Short Forms (Basic Mobility and Activity domains).

resultsThe rate for initial rehabilitation consults for patients with no limitations in mobility or activity during the 6-month baseline period was 12%, which was decreased to 7% and 10% during the 6-month intervention and sustain periods, respectively (

conclusionsA multifaceted intervention led to improved utilization of acute inpatient rehabilitation consultation while increasing the frequency of rehabilitation treatment for patients with highest functional impairment.

Indexed as

neurologyqualityrehabilitationstroke

Identifiers

PMID29623154
PMCPMC5882008
OpenAlexW2756187825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.