The Journal of the American Osteopathic Association, 2009/08, 109(8):428. doi: 10.7556/jaoa.2009.109.8.425, type of study: ,ret,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

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

Keywords:

data collection [39]
OMT [3925]
osteopathic manipulative treatment [3946]
retrospective study [339]
USA [1751]

Abstract:

Objective: Osteopathic manipulative treatment (OMT) has been utilized in clinic and hospital settings since the osteopathic profession was founded. However over the past few decades, the use of OMT in the hospital has declined. In order to understand this trend and to establish a baseline for future hospital-based studies, the current use of OMT in the hospital needs to be documented. The purpose of this project was to create a database collection tool to evaluate the details of a specialty-level osteopathic manipulative medicine (OMM) inpatient consultation service. Materials and Methods: A database collection tool was created using the Microsoft Office Access database software. The major subject categories included demographic information, diagnoses and symptoms for which OMM consultations were obtained, patient comorbidities, illness severity, and OMT specifics. Results: The database collection tool was created as one main form with five tabbed subsections. The main form contained patient demographic information and dates of service. The first subsection included admitting physician information, admission diagnoses, and patient illness severity information (eg, ICU status, use of mechanical ventilation).The second subsection included discharge information (eg, discharge diagnoses, outpatient follow-up).The third subsection included the specifics of the OMM consultation (eg, reason for consultation, final assessments, resident physician participation).The fourth subsection contained information regarding the OMT provided each day that the patient was seen by the OMM specialist, including areas of somatic dysfunction identified and osteopathic techniques used (eg, myofascial release, balanced ligamentous tension, high-velocity low-amplitude).The last subsection provided a place for notes regarding information that was not recorded elsewhere in the database. To date, 2195 OMM consultations have been partially recorded in the database and 595 chart reviews are complete. Conclusion: A useful Access database collection tool was created. Charts reviewed reflect one decade of OMM hospital consultation service from 1998 through 2008. Ultimately the long-term goal of this project is to increase the use of OMT in the hospital setting by establishing the efficacy of OMT in this setting.