Impact of Physical and Occupational Therapy Therapy in New BMT Patients

Study Overview
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Brief Summary
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This is a single-site, non-randomized, interventional 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.

Official Title
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Assessing the Impact of Physical and Occupational Therapy for Patients Admitted for Bone Marrow Transplant on Outcomes

Conditions
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Bone Marrow Transplantation, Bone Marrow Disease

Intervention / Treatment
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* Other: physical and occupational therapy consultation


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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: physical and occupational therapy<br>Physical and occupational therapy consultation might be used to provide targeted prehabilitation interventions. | Other: physical and occupational therapy consultation<br>* Physical and occupational therapy consultation during the inpatient admission period. This information may be used in the future to provide targeted prehabilitation interventions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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 | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise, physical therapy