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Retrospective Chart Review of the OMM Hospital Consultation Service at NRMC - Preliminary Results

Journal: The Journal of the American Osteopathic Association Date: 2009/08, 109(8):Pages: 429. doi: Subito , type of study: retrospective study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2009.109.8.425/html)

Keywords:

OMT [3102]
osteopathic manipulative treatment [3124]
retrospective study [231]
USA [1166]

Abstract:

Objective: Originally all osteopathic physicians used osteopathic manipulative medicine (OMM) in the care of hospitalized patients. However over the past few decades, most OMM care has been provided by family practitioners and OMM specialists. The purpose of this study is to retrospectively evaluate the details of a specialty-level OMM inpatient consultation service. Materials and Methods: 2195 inpatient OMM consultations that took place at Northeast Regional Medical Center (NRMC) in Kirksville, MO between1998 and early 2008 were reviewed for demographic information, the types of problems for which OMM consultations are obtained, the types of osteopathic techniques commonly used, patient comorbidities, and length of service. Results: Preliminary results are as follows – Demographic information regarding the patients was as follows: 812 men (37%), 1383 women (63%); 579 Caucasian (98%), 4 Hispanic (1%), 4 African-American (1%), and 2 Asian (<1%); age, mean±SD=61±26 years, range=0-99 years. Chart reviews have been completed on 595 of the 2195 consultations, primarily for admissions during 2005-2008. Within the completed chart reviews, the five most common reasons for the OMM consultation were: (1) pneumonia (adjunctive treatment), (2) nonspecific back pain, (3) neck pain, (4) low back pain, and (5) rib pain. Other nonmusculoskeletal reasons for OMM consultations included bowel ileus and poor feeding in the newborn. The five most common diagnoses at admission were: (1) hypertension, (2) pneumonia, (3) COPD, (4) diabetes, and (5) sepsis. The five most common types of OMT techniques used were (1) myofascial release, (2) indirect technique, (3) soft tissue, (4) muscle energy, and (5) rib raising. The average length of stay was mean±SD=6±6 days, while the average length of the consultation was mean±SD=4±3 days. Conclusion: With a few exceptions, OMM consultations were primarily for musculoskeletal complaints. A wide variety of OMT techniques were utilized. Demographic distribution of the patients is consistent with the local population. When completed, this study will provide preliminary data that can be used as a baseline for developing prospective hospital-based OMM research studies.


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