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Inpatient osteopathic manipulative treatment: Impact on length of stay

Journal: The AAO Journal Date: 1997/12, 7(4):Pages: 25-29, type of study: retrospective study

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Winter1997.pdf)

Keywords:

length of stay [27]
OMT [3746]
osteopathic manipulative treatment [3766]
retrospective study [312]
USA [1630]

Abstract:

Purpose/Background: Osteopathic manipulative treatment (OMT) for the hospitalized patient is a long standing practice. There are various claims regarding the efficacy and cost effectiveness of the utilization of OMT. While there is general recognition of the efficacy of OMT in the treatment of musculoskeletal pain, there is much less support for it as a technique to complement the care of the hospitalized patient. Methods: The investigator surveyed all hospitals (133) approved by the American Osteopathic Association to gather information regarding the utilization of OMT for the 1994 calendar year. A professional statistician then analyzed the data contributed by 18 of 36 responding hospitals. Results: Data analysis focused on identifying those cases where, for a particular diagnostic related group (DRG), at least ten patients received Winter 1997 OMT. Data analysis then identified an association between the utilization of OMT and a decreased length of stay (LOS) greater than one day. Those cases/DRGs with decreased LOS greater than one day included: psychosis; peripheral vascular disorder to age 70; septicemia age 18+; noncancerous disorder of the pancreas; stomach, esophagus and/or duodenum procedures; intestinal obstruction up to age 70; transient ischemic attack; circulatory disorder with acute myocardial infarction discharged alive, with cardiovascular complications; circulatory disorder without acute myocardial infarction, with cardiac catheterization, with complex diagnosis; operative vascular procedure, with majorreconstruction with age 70; and other digestive system diagnosis, age 18 to 70. Conclusion: The results of this survey indicate that utilizing OMT in the treatment regimen for the hospitalized patient may produce positive results in cases other than musculoskeletal pain. Carrying out prospective double-blind studies will help to further evaluate the impact of OMT in the hospitalized patient population. This study, in itself, raises several questions. Does severity of illness affect consultation patterns? Does OMT impact parameters other than LOS, for example, patient satisfaction and/or the overall cost and utilization of hospital resources? This paper helps to provide direction towards these ends.


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