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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| physical and occupational therapy | Physical and occupational therapy consultation might be used to provide targeted prehabilitation interventions. |
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| Measure | Description | Time Frame |
|---|---|---|
| 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). | Up to 30 days after bone marrow transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| The feasibility | The proportion of individuals who received a physical and occupational therapy consultation in the prospective group. | 1 day (the date of bone marrow transplantation) |
| Acute care length of stay |
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Inclusion Criteria:
Exclusion Criteria:
1. No history of inpatient admission for BMT
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Subjects who are admitted for bone marrow transplantation (BMT) at the study site.
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| Name | Affiliation | Role |
|---|---|---|
| Sasha Stephen, MD | UNC Lineberger Comprehensive Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lineberger Comphrehensive Cancer Center at University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27599 | United States |
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| Label | URL |
|---|---|
| University of North Carolina Lineberger Comprehensive Cancer Center Clinical Trials | View source |
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| ID | Term |
|---|---|
| D001855 | Bone Marrow Diseases |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D001519 | Behavior |
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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.
| 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. | 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. | Up to 90 days after bone marrow transplantation |