Evidence map›Paper›PMID 35446466›Full record

ArticleJournal of hospital medicine2022

Disparities in the allocation of inpatient physical and occupational therapy services for patients with COVID-19.

Sarah Jolley, Amy Nordon-Craft, Melissa P Wilson, Kyle Ridgeway, Michelle R Rauzi, Jacob Capin, Lauren M Heery, Jennifer Stevens-Lapsley, Kristine M Erlandson

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of hospital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  5. Household income is associated with functional outcomes in a multi-institutional cohort of patients with ischemic stroke and COVID-19.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Sarah JolleyDivision of Pulmonary and Critical Care Medicine, Aurora, Colardo, USA.ORCID 0000-0002-4616-7792
Amy Nordon-CraftPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, Aurora, Colorado, USA.
Melissa P WilsonDivision of Bioinformatics and Personalized Medicine, Aurora, Colorado, USA.
Kyle RidgewayPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, Aurora, Colorado, USA.
Michelle R RauziPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, Aurora, Colorado, USA.
Jacob CapinPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, Aurora, Colorado, USA.
Lauren M HeeryUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Jennifer Stevens-LapsleyEastern Colorado VA Geriatric Research Education and Clinical Center (GRECC), Aurora, Colorado, USA.
Kristine M ErlandsonDivision of Infectious Diseases, University of Colorado, Aurora, Colorado, USA.
American Physical Therapy Association · USGeriatric Research Education and Clinical Center · USPersonalis (United States) · USPulmonary and Critical Care Associates · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Colorado Hospital · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Predictors of Recovery and the App-Facilitated Tele-Rehabilitation (AFTER) Program for COVID SurvivorsR01AG054366 · NIA · UNIVERSITY OF COLORADO DENVER · PI ERLANDSON, KRISTINE MACE · 2016 to 2020
$3.4M
NRSA Training CoreTL1TR002533 · NCATS · UNIVERSITY OF COLORADO DENVER · PI CICUTTO, LISA · 2018 to 2022
$3.0M
Prevalence of ICU-Acquired Myopathy in Patients with Alcohol Use DisordersK23AA026315 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI JOLLEY, SARAH E · 2018 to 2022
$696k
Contralateral Knee Osteoarthritis Among Older Adults after Primary Total Knee ArthroplastyF32AG066274 · NIA · UNIVERSITY OF COLORADO DENVER · PI CAPIN, JACOB J · 2019 to 2021
$94k
NCATS NIH HHS TL1 TR002533NCATS NIH HHS UL1 TR002535NIAAA NIH HHS K23 AA026315NIA NIH HHS F32 AG066274NIA NIH HHS R01 AG054366
6 · The paper itself

Abstract

backgroundSurvivors of the novel coronavirus (COVID-19) experience significant morbidity with reduced physical function and impairments in activities of daily living. The use of in-hospital rehabilitation therapy may reduce long-term impairments.

objectiveTo determine the frequency of therapy referral and treatment amongst hospitalized COVID-19 patients, assess for disparities in referral and receipt of therapy, and identify potentially modifiable factors contributing to disparities in therapy allocation. DESIGN, SETTING AND

participantsRetrospective cohort study using data collected from the University of Colorado Health Data Compass data warehouse assessing therapy referral rates and estimated delivery based on available administrative billing. MEASUREMENTS: Multivariable logistic regression was used to determine the association between sex and/or underrepresented minority race with therapy referral or delivery.

resultsAmongst 6239 COVID-19-related hospitalization, a therapy referral was present in 3952 patients (51.9%). Hispanic ethnicity was independently associated with lower odds of receipt of therapy referral (adjusted OR [aOR]: 0.78, 95% confidence interval [CI]: 0.67-0.93, p = .001). Advanced age (aOR: 1.53, 95% CI: 1.46-1.62, p < .001), greater COVID illness severity (aOR for intensive care unit admission: 1.63, 95% CI: 1.37-1.94, p < .01) and hospital stay (aOR: 1.14, 95% CI: 1.12-1.15, p < .01) were positively associated with referral. CONCLUSIONS AND RELEVANCE: In a cohort of patients hospitalized for COVID-19 across a multicenter healthcare system, we found that referral rates and delivery of physical therapy and/or occupational therapy sessions were significantly reduced for patients of Hispanic identity compared with patients of non-Hispanic, Caucasian identity after adjustment for potential confounding by available demographic and illness severity variables.

Indexed as

COVID-19Occupational TherapyActivities of Daily LivingHospitalizationHumansInpatientsRetrospective Studies

Identifiers

PMID35446466
PMCPMC9088325
OpenAlexW4210958349

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.