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Rehabilitation epidemiological and economics studies using a medical big database

Research Project

Project/Area Number 15K01395
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTeikyo University (2016-2017)
Jikei University School of Medicine (2015)

Principal Investigator

MOMOSAKI RYO  帝京大学, 医学部, 准教授 (70439800)

Co-Investigator(Kenkyū-buntansha) 安保 雅博  東京慈恵会医科大学, 医学部, 講師 (00266587)
角田 亘  国際医療福祉大学, 医学部, 主任教授 (00453788)
Research Collaborator Kinoshita Syoji  東京慈恵会医科大学, 医学部, 助教 (60748383)
Hada Takuya  東京慈恵会医科大学, 医学部, 助教
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
KeywordsDPCデータ / 医療ビッグデータ / 症例登録レジストリー / リハビリテーション / 臨床疫学 / 日本リハビリテーションデータベース / DPCデータベース / RedCap / リハビリテーション栄養 / リハビリテーション科専門医 / データベース / 脳卒中 / 週末リハビリテーション / 言語聴覚療法 / 脳外傷 / 栄養
Outline of Final Research Achievements

We conducted observational study using medical big database. Our data suggested that 1)amount, timing, and type of rehabilitation, and participation of multidisciplinary staff are essential for high performance in acute stroke rehabilitation. 2)weekend rehabilitation for hip fracture patients can lead to functional recovery. 3)leg orthoses may improve activities of daily living in individuals with spinal cord injury. 4)preoperative rehabilitation after hip fracture is associated with better rehabilitation outcomes than no preoperative rehabilitation. 5)7day/week of rehabilitation in early rehabilitation for patients with acute stroke can lead to functional recovery. 6)patients with acute ischemic stroke undergoing very early rehabilitation after thrombolysis were more likely to achieve functional independence without an increase in adverse outcomes. 7) participation of board-certificated physiatrists is associated with good rehabilitation outcomes in patients with hip fracture.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (13 results)

All 2018 2017 2016 2015

All Journal Article (8 results) (of which Peer Reviewed: 8 results,  Open Access: 2 results,  Acknowledgement Compliant: 2 results) Presentation (5 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] 高齢股関節骨折患者の機能回復における週末リハビリテーションの有効性(Effectiveness of weekend physical rehabilitation for functional recovery in geriatric patients with hip fracture)2018

    • Author(s)
      Hasebe K, Momosaki R, Sawabe M, Chono M, Sawaguchi A, Kasuga S, Asanuma D, Suzuki S, Miyauchi N, Abo M.
    • Journal Title

      Geriatr Gerontol Int

      Volume: 18 Issue: 8 Pages: 1143

    • DOI

      10.1111/ggi.13326

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢股関節骨折患者に対する術前理学療法の有効性(Effectiveness of preoperative physical therapy for older patients with hip fracture)2018

    • Author(s)
      Sawaguchi A, Momosaki R, Hasebe K, Chono M, Kasuga S, Abo M.
    • Journal Title

      Geriatr Gerontol Int

      Volume: 18 Issue: 7 Pages: 1003

    • DOI

      10.1111/ggi.13290

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Nutritional Status Changes and Activities of Daily Living after Hip Fracture in Convalescent Rehabilitation Units: A Retrospective Observational Cohort Study from the Japan Rehabilitation Nutrition Database.2018

    • Author(s)
      Nishioka S, Wakabayashi H, Momosaki R.
    • Journal Title

      J Acad Nutr Diet

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical Effectiveness of Board-certificated Physiatrists on Functional Recovery in Elderly Stroke Patients During Convalescence: A Retrospective Cohort Study2017

    • Author(s)
      Momosaki R, Kakuda W, Kinoshita S, Yamada N, Abo M
    • Journal Title

      International Journal of Gerontology

      Volume: 11 Issue: 1 Pages: 7-11

    • DOI

      10.1016/j.ijge.2016.05.005

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association Between 7 Days Per Week Rehabilitation and Functional Recovery of Patients With Acute Stroke: A Retrospective Cohort Study Based on Japan Rehabilitation Database2016

    • Author(s)
      Kinoshita S, Momosaki R, Kakuda W, Okamoto T, Abo M
    • Journal Title

      Archives of physical medicine and rehabilitation

      Volume: 98 Issue: 4 Pages: 701-6

    • DOI

      10.1016/j.apmr.2016.11.004

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Real-world Effectiveness of Speech Therapy Time on Cognitive Recovery in Older Patients with Acute Stroke2016

    • Author(s)
      Sakai K, Momosaki R
    • Journal Title

      Progress in Rehabilitation Medicine

      Volume: 1 Issue: 0 Pages: n/a

    • DOI

      10.2490/prm.20160004

    • NAID

      130005267547

    • ISSN
      2432-1354
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of board-certificated physiatrists on rehabilitation outcomes in elderly patients after hip fracture: An observational study using the Japan Rehabilitation Database.2016

    • Author(s)
      Momosaki R, Kakuda W, Yamada N, Abo M.
    • Journal Title

      Geriatr Gerontol Int.

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Very Early versus Delayed Rehabilitation for Acute Ischemic Stroke Patients with Intravenous Recombinant Tissue Plasminogen Activator: A Nationwide Retrospective Cohort Study.2016

    • Author(s)
      Momosaki R, Yasunaga H, Kakuda W, Matsui H, Fushimi K, Abo M.
    • Journal Title

      Cerebrovasc Dis.

      Volume: 42 Pages: 41-48

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 大腿骨近位部骨折に対する術前リハビリテーションの効果:日本リハビリテーション・データベース分析2018

    • Author(s)
      澤口暁、百崎良、百崎良、長谷部清貴、長野正幸、安保雅博
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 急性期脳卒中高齢患者の認知機能改善における言語聴覚療法の有効性 -日本リハビリテーションデータベースを用いた検討-2016

    • Author(s)
      堺琴美, 百崎良
    • Organizer
      第53回日本リハビリテーション医学会
    • Place of Presentation
      京都
    • Year and Date
      2016-06-09
    • Related Report
      2016 Research-status Report
  • [Presentation] Real world clinical effectiveness of dysphagia rehabilitation on oral intake after aspiration pneumonia in the elderly: a retrospective cohort study using a national administrative database in Japan2016

    • Author(s)
      Momosaki R, Yasunaga H, Matsui H, Fushimi K, Abo M.
    • Organizer
      5th Asia-Oceanian Conference of Physical & Rehabilitation Medicine
    • Place of Presentation
      Cebu
    • Year and Date
      2016-02-18
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Predictors for early initiation of oral intake after aspiration pneumonia in the elderly2015

    • Author(s)
      Momosaki R, Yasunaga H, Matsui H, Fushimi K, Abo M.
    • Organizer
      16th Congress of the Parenteral and Enteral Nutrition Society of Asia
    • Place of Presentation
      Nagoya
    • Year and Date
      2015-07-24
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 脳卒中回復期リハ患者に対するリハ科専門医のインパクト~日本リハデータベースを用いた検討~2015

    • Author(s)
      百崎良, 安保雅博.
    • Organizer
      第52回日本リハビリテーション医学会学術集会
    • Place of Presentation
      新潟
    • Year and Date
      2015-05-28
    • Related Report
      2015 Research-status Report
    • Invited

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Published: 2015-04-16   Modified: 2019-03-29  

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