Network


Latest external collaboration on country level. Dive into details by clicking on the dots.

Hotspot


Dive into the research topics where Terrence Pugh is active.

Publication


Featured researches published by Terrence Pugh.


Archives of Physical Medicine and Rehabilitation | 2015

Factors Associated With Discharge to Home Versus Discharge to Institutional Care After Inpatient Stroke Rehabilitation

Vu Nguyen; Janet Prvu-Bettger; Tami Guerrier; Mark A. Hirsch; J. George Thomas; Terrence Pugh; Charles Rhoads

OBJECTIVE To examine sociodemographic and clinical characteristics independently associated with discharge home compared with discharge to a skilled nursing facility (SNF) after acute inpatient rehabilitation. DESIGN Retrospective cohort study. SETTING Three tertiary accredited acute care rehabilitation facilities. PARTICIPANTS Adult patients with stroke (N=2085). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Not applicable. RESULTS Of 2085 patients with stroke treated at 3 centers over a 4-year period, 78.2% (n=1631) were discharged home and 21.8% (n=454) discharged to an SNF. Findings from a multivariable logistic regression analysis indicated that patients were less likely to be discharged home if they were older (odds ratio [OR], .98; 95% confidence interval [CI], .96-.99), separated or divorced (compared with married; OR, .61; 95% CI, .48-.79), or with Medicare health insurance (compared with private insurance; OR, .69; 95% CI, .55-.88), or had dysphagia (OR, .83; 95% CI, .71-.98) or cognitive deficits (OR, .79; 95% CI, .77-.81). The odds of being discharged home were higher for those admitted with a higher motor FIM score (OR, 1.10; 95% CI, 1.09-1.11). The following were not associated with discharge disposition: sex, race, prestroke vocational status, availability of secondary health insurance, number of days from stroke onset to rehabilitation facility admission, stroke type, impairment group, cognitive FIM on admission, other stroke deficits (aphasia, ataxia, neglect, or speech disturbance), stroke complications of hyponatremia or urinary tract infection, or comorbid conditions. CONCLUSIONS One in 5 patients with stroke were discharged to an SNF after inpatient rehabilitation. On admission, several sociodemographic and clinical characteristics were identified that could be considered as important factors in early discussions for discharge planning.


Current Physical Medicine and Rehabilitation Reports | 2018

Inpatient cancer rehabilitation: past, present, and future perspectives

Vishwa S. Raj; Terrence Pugh

Purpose of reviewAs cancer transitions from a terminal diagnosis to a chronic medical condition, viewpoints must also change regarding how rehabilitation fits into the continuum of care. The purpose of this review is to describe the history of inpatient rehabilitation, the current state as it relates to delivery of care for the oncology survivor, and the future models that may improve patient access.Recent findingsInpatient rehabilitation can provide an intensive setting for interdisciplinary interventions. Care is typically provided in inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), and long-term care hospitals (LTCH).SummaryEach setting has evolved over time to accommodate medical complexity, but an understanding of the regulatory requirements for participation is necessary to integrate oncology populations. Future models should focus on effectiveness and efficiency, especially in context of cost and outcomes. Opportunities may exist to utilize inpatient rehabilitation for innovative programs within both oncology and rehabilitation.


Archives of Physical Medicine and Rehabilitation | 2018

Turning Data Into Information Opportunities To Advance Rehabilitation Quality, Research And Policy

Janet Prvu Bettger; Vu Nguyen; J. George Thomas; Tami Guerrier; Qing Yang; Mark A. Hirsch; Terrence Pugh; Gabrielle M. Harris; Mary Ann Eller; Carol Pereira; Deanna Hamm; Eric A. Rinehardt; Matthew Shall; Janet P. Niemeier

Attention to health care quality and safety has increased dramatically. The internal focus of an organization is not without influence from external policy and research findings. Compared with other specialties, efforts to align and advance rehabilitation research, practice, and policy using electronic health record data are in the early stages. This special communication defines quality, applies the dimensions of quality to rehabilitation, and illustrates the feasibility and utility of electronic health record data for research on rehabilitation care quality and outcomes. Using data generated at the point of care provides the greatest opportunity for improving the quality of health care, producing generalizable evidence to inform policy and practice, and ultimately benefiting the health of the populations served.


Journal of Stroke & Cerebrovascular Diseases | 2017

Depression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation

Gabrielle M. Harris; Janice Collins-McNeil; Qing Yang; Vu Nguyen; Mark A. Hirsch; Charles Rhoads; Tami Guerrier; J. George Thomas; Terrence Pugh; Deanna Hamm; Carol Pereira; Janet Prvu Bettger

PURPOSE To examine the prevalence of poststroke depression (PSD) among African American stroke survivors and the association of depression with functional status at inpatient rehabilitation facility (IRF) discharge. METHODS Secondary data analysis was conducted of a patient cohort who received care at 3 IRFs in the United States from 2009 to 2011. Functional status was measured by the Functional Independence Measure (FIM). Multiple linear regression models were used to examine associations of PSD and FIM motor and cognitive scores. RESULTS Of 458 African American stroke survivors, 48.5% were female, 84% had an ischemic stroke, and the mean age was 60.8 ± 13.6 years. Only 15.4% (n = 71) had documentation of PSD. Bivariate analyses to identify factors associated with depression identified a higher percentage of patients with depression than without who were retired due to disability (17.1% versus 11.6%) or employed (31.4% versus 19.6%) prestroke (P = .041). Dysphagia, cognitive deficits, and a lower admission motor FIM score were also significantly more common among those with depression. There was no significant relationship between depression and functional status after adjusting for patient characteristics. CONCLUSIONS In this study, 15% of the African Americans who received rehabilitation after a stroke had documentation of PSD but this was not associated with functional status at discharge.


American Journal of Physical Medicine & Rehabilitation | 2017

A Rare Intramedullary Spinal Cord Metastasis from a Retroperitoneal Leiomyosarcoma Presenting as a Non-traumatic Spinal Cord Injury

Andrew Lamberth Parker; Terrence Pugh; Mark A. Hirsch

Leiomyosarcoma (LMS) is a rare but well-recognized malignant soft tissue sarcoma of smooth muscle origin. Metastases commonly occur in the lungs, liver, kidney, brain, and bone. Cases of metastatic osseous lesions or other extradural space-occupying masses secondary to LMS leading to neurologic compromise are relatively commonplace in the literature. Conversely, cases of intramedullary spinal cord metastasis (ISCM), an unusual entity as a sequela of any cancer, are exceedingly rare as a consequence of LMS. Only 2 cases of an ISCM from LMS are currently documented in the literature, and to the best of our knowledge, no case is described in the rehabilitation literature. This case report presents a patient with a history of longstanding metastatic LMS presenting with incomplete paraplegia, neurogenic bowel and bladder, and neuropathic pain. The patient was found to have an ISCM of the thoracic spinal cord. She made functional gains with concurrent inpatient rehabilitation and radiation but was unable to perform her own intermittent catheterization program, bowel program, or transfers and was unable to discharge home independently. Intramedullary spinal cord metastasis is a rare and potentially devastating consequence of LMS or any primary cancer, but can be amenable to common interventions in the acute inpatient rehabilitation setting.Leiomyosarcoma (LMS) is a rare but well-recognized malignant soft tissue sarcoma of smooth muscle origin. Metastases commonly occur in the lungs, liver, kidney, brain, and bone. Cases of metastatic osseous lesions or other extradural space-occupying masses secondary to LMS leading to neurologic compromise are relatively commonplace in the literature. Conversely, cases of intramedullary spinal cord metastasis (ISCM), an unusual entity as a sequela of any cancer, are exceedingly rare as a consequence of LMS. Only 2 cases of an ISCM from LMS are currently documented in the literature, and to the best of our knowledge, no case is described in the rehabilitation literature. This case report presents a patient with a history of longstanding metastatic LMS presenting with incomplete paraplegia, neurogenic bowel and bladder, and neuropathic pain. The patient was found to have an ISCM of the thoracic spinal cord. She made functional gains with concurrent inpatient rehabilitation and radiation but was unable to perform her own intermittent catheterization program, bowel program, or transfers and was unable to discharge home independently. Intramedullary spinal cord metastasis is a rare and potentially devastating consequence of LMS or any primary cancer, but can be amenable to common interventions in the acute inpatient rehabilitation setting.


Archives of Physical Medicine and Rehabilitation | 2014

Factors Associated with Home versus Institutional Discharge Following Inpatient Stroke Rehabilitation

Vu Nguyen; Janet Prvu Bettger; J. George Thomas; Terrence Pugh; Charles Rhoads; Mark A. Hirsch; Tami Guerrier


Archive | 2019

Cancer-Related Fatigue

Vishwa S. Raj; Joanna Edekar; Terrence Pugh


Archive | 2019

Brain Tumor Rehabilitation

Terrence Pugh; Joanna Edeker; Brittany Lorden; Vishwa S. Raj


Annals of Physical and Rehabilitation Medicine | 2018

The association of neurostimulant and antidepressant use with functional recovery during stroke rehabilitation

Vu Nguyen; Qing Yang; J.G. Thomas; Tami Guerrier; Mark A. Hirsch; Terrence Pugh; Gabrielle M. Harris; J. Prvu Bettger


American Journal of Physical Medicine & Rehabilitation | 2018

Depression Characterization and Race among Stroke Survivors Receiving Inpatient Rehabilitation

Terrence Pugh; Mark A. Hirsch; Vu Nguyen; Charles F. Rhoads rd; Gabrielle M. Harris; Qing Yang; J. George Thomas; Tami Guerrier; Deanna Hamm; Carol Pereira; Jia Yao; Janet Prvu Bettger

Collaboration


Dive into the Terrence Pugh's collaboration.

Top Co-Authors

Avatar

Mark A. Hirsch

Carolinas Medical Center

View shared research outputs
Top Co-Authors

Avatar

Tami Guerrier

Carolinas Medical Center

View shared research outputs
Top Co-Authors

Avatar

Vu Nguyen

Carolinas Medical Center

View shared research outputs
Top Co-Authors

Avatar
Top Co-Authors

Avatar
Top Co-Authors

Avatar

Deanna Hamm

Carolinas Medical Center

View shared research outputs
Top Co-Authors

Avatar

Vishwa S. Raj

Carolinas Healthcare System

View shared research outputs
Top Co-Authors

Avatar
Top Co-Authors

Avatar
Top Co-Authors

Avatar
Researchain Logo
Decentralizing Knowledge