Impact of Physical and Occupational Therapy in New BMT Patients

UNC Lineberger Comprehensive Cancer Center75 enrolled

Overview

This is a single-site, non-randomized, observational study designed to evaluate the impact of adding physical and occupational therapy consultation upon inpatient admission for a bone marrow transplantation (BMT). The purpose of this study is to investigate whether consultation with physical and occupational therapists as part of the general admission order set for patients scheduled for bone marrow transplant will result in reduced complications, morbidity, length of inpatient stay, 30-day readmission, and 90-day mortality. Baseline data collection will be used to determine eligibility. This study will be partially retrospective (pre-implementation of physical and occupational therapy consultation order) and partially prospective.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Bone Marrow Transplantation Bone Marrow Disease

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age ≥ 18 years at the time of admission for bone marrow transplantation (BMT) 2. Received BMT Exclusion Criteria: 1\. No history of inpatient admission for BMT

Locations (1)

Outcomes

Primary Outcomes

30-day readmission

30-day readmission rates will be calculated using historical data (pre-intervention) and compared to rates once physical and occupational therapy consultation has been included in the inpatient admission order set for bone marrow transplantation (BMT).

Time frame: Up to 30 days after bone marrow transplantation

Secondary Outcomes

The feasibility

The proportion of individuals who received a physical and occupational therapy consultation in the prospective group.

Time frame: 1 day (the date of bone marrow transplantation)

Acute care length of stay

Acute care length of stay will be calculated using historical data (pre-intervention) and compared to rates once physical and occupational therapy consultation has been included in the inpatient admission order set for BMT.

Time frame: Up to 90 days after bone marrow transplantation

Mortality rates

Mortality rates will be calculated by comparing, how many subjects died pre-intervention and post-intervention, using medical record data.

Time frame: Up to 90 days after bone marrow transplantation

Complication types and rates

Complication types and rates will be calculated and compared pre-intervention and post-intervention using medical record data.

Time frame: Up to 90 days after bone marrow transplantation