Session Title: Research Spotlight: Pandemic
Session Time: None. Available on demand.
Disclosures: Prabhav P. Deo, MD:
Objective: To study the impact of COVID-19 on inpatient clinical experience for Physical Medicine and Rehabilitation (PM&R) resident physicians.
Design: Retrospective Cohort StudySetting : Inpatient Rehabilitation Facility (IRF)Participants : Admissions to an IRF from January 1st to July 30th in 2019 and 2020.
Main Outcome Measures: admissions, admitting diagnosis, medical emergencies, and transfers to acute care
Results: Admissions from January 1 to July 30 were similar in 2020 and 2019, except for April 2020, which had 228 admissions compared to 297 in April 2019 (Poisson regression, p=0.0394). There was no change in admissions with a diagnosis of stroke, spinal cord injury, brain injury, amputation, orthopedic, oncologic, neurologic, or cardiac. There were 301 admissions of Medically Complex/Debility patients in 2020 compared to 190 admissions in 2019, with a significant difference of 66 admissions in June 2020 compared to 24 admissions in June 2019 (p=0.0039). In 2020, the greatest number of debility patients were admitted in June with a significant difference when compared to January (p=0.0169) and April (p=0.0389) 2020, and approaching significance compared to February, March, and July 2020. Of Medically Complex/Debility patients, COVID-positive patients comprised 68.8% in April, 69.4% in May, and 64.3% in June. COVID-positive patients comprised 6.8%, 12.7%, and 13.5% of total monthly admissions in April, May, and June respectively. Between 2019 and 2020, there was no significant difference in average monthly rapid response calls or average monthly transfers to acute care.Conclusions: The COVID-19 pandemic did not have a significant impact on inpatient clinical experience for PM&R resident physicians at this institution, as evidenced by relatively consistent monthly admissions, preservation of diagnosis case-mix, and no change in medical emergencies or transfers to acute care facilities. A decrease in admissions in April 2020 possibly reflects mandates to shelter in place. There was an increase in Medically Complex/Debility admissions, likely attributed to patients requiring rehabilitation after COVID-19 infections.
Level of Evidence: Level IV
To cite this abstract in AMA style:Deo PP, Kocherginsky M, Sliwa JA, Chen L. Impact of COVID-19 Pandemic on Inpatient Clinical Experience for Physical Medicine and Rehabilitation Resident Physicians [abstract]. PM R. 2021; 13(S1)(suppl 1). https://pmrjabstracts.org/abstract/impact-of-covid-19-pandemic-on-inpatient-clinical-experience-for-physical-medicine-and-rehabilitation-resident-physicians/. Accessed December 3, 2023.
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