News

Emory’s Stroke Rehabilitation Clinical Trial Chosen as Top International Trial

Rehab Clinical TrialAt Emory, clinical trials are at the core of our mission and we are proud to offer them to our patients. Groundbreaking scientific advances and medical treatments available today have been made possible because of volunteer participation in clinical trials and research.

In fact, one of the thousands of clinical trials conducted at Emory was just identified as one of the 15 top international clinical trials ever published for physical therapy and rehabilitation.

The EXCITE (Extremity Constraint-Induced Therapy Evaluation) trial, led by Emory University’s Steven Wolf, PhD, PT, professor of rehabilitation medicine at Emory University, was created to teach stroke patients to use their stroke-affected arm rather than their “good” arm. Conducted almost a decade ago, the clinical trial was found to have a significant impact in stroke rehabilitation, which set the stage for many future trials.

Each year, more than 795,000 people in the United States suffer from a stroke and many stroke survivors experience partial paralysis on one side of the body. The EXCITE trial enrolled 222 patients who had suffered a stroke, predominantly an ischemic stroke, within the previous three to nine months.

During the trial, participant’s less-impaired hand was restrained and/or immobilized by placing a mitt around the “good” arm in an effort to encourage use of the affected extremity. Participants engaged in daily repetitive tasks and behavioral therapy sessions, which included training in tasks such as opening a lock, turning a doorknob or pouring a drink. Only use of the affected arm was allowed during exercise.

“Often, stroke rehabilitation focuses on teaching patients how to better rely on their stronger limbs, even if they retain some use in the impaired limbs, creating a learned disuse,” says Wolf. “This trial was just the opposite and focused on the impaired limb, which proved to be a valuable form of rehabilitation. We are so pleased and honored that this clinical trial has been found to be a top 15 trial amongst an international jury of experts.”

Wolf, and other Emory University researchers partaking in the national trial, studied participants to determine if the intervention improved motor function, as compared to no therapy at all. Patients were evaluated using the Wolf Motor Function Test (named after Wolf), which is a measure of laboratory time, strength-based ability and quality of movement.

Research investigators found that over the course of a year from the beginning of therapy, the group undergoing constraint-induced therapy showed greater improvements than the control group in regaining function.

“Results showed that constraint-induced movement therapy produced statistically significant and clinically relevant improvements in arm motor function that persisted for at least one year at follow-up,” says Wolf. “This trial was the first large multi-center, randomized controlled trial in stroke rehabilitation that lay the ground work for many other trials to follow.”

The EXCITE trial was funded by the National Institutes of Health from 2000-2005 and the results were published in JAMA in 2006. For the past 15 years, PEDro, a database located and supported within the George Institute for Global Health in Australia, has reviewed clinical trials, guidelines and reviews of work related to rehabilitation and physical therapy. During that time period, around 28,000 trials and manuscripts dating back as far as 1929 were reviewed. The free database is used by thousands of physiotherapists and others interested in rehabilitation from more than 200 countries. Out of the 15 trials highlighted by PEDro, only two were clinical trials based in the U.S.

Click to learn more about clinical trials at Emory, or call 404-778-7777.

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Emory Healthcare Ranks Nationally for Quality and Safety Excellence

UHC Quality Leadership Winner 2014University HealthSystem Consortium (UHC), a national organization comprised of most of the nation’s leading academic medical centers, has ranked Emory University Hospital (which includes Emory University Orthopaedics & Spine Hospital) eighth in the nation in the 2014 UHC Quality Leadership Awards. This is the fourth consecutive year that Emory University Hospital has ranked in the top 10 for demonstrating superior performance in delivering high-quality care and safety excellence.

Emory University Hospital Midtown, which is Emory Healthcare’s second academic and eligible hospital, ranked in the top quartile as 22nd nationally.

The Quality Leadership Award honors top performers in UHC’s Quality and Accountability Study, which ranks performance in the areas of: mortality, effectiveness, safety, equity, patient centeredness and efficiency. These rankings are the most rigorous in health care and look at how major teaching hospitals are doing in multiple dimensions of quality and safety. They are traditionally looked upon as providing the best, most non-biased national quality measurement system available for teaching hospitals.

Since 2006, we have been on a journey to have our two academic hospitals – Emory University Hospital and Emory University Hospital Midtown – rank highly by the UHC. In 2012, we met our goal as Emory University Hospital ranked number two and Emory University Hospital Midtown ranked number six. We have made outstanding progress, and ranked 2nd and 3rd last year. “We are proud of our successes, as our number one priority at Emory Healthcare is to provide safe, high-quality care for our patients,” said John Fox, president and CEO of Emory Healthcare.

A top ranking by UHC means more than just great care. Since UHC ranks only academic medical centers that typically treat America’s sickest, most complex patient cases, and a disproportionate number of patients who are uninsured, underinsured or indigent, ranking highly on the list of the 101 participants reflects the ultimate assessment of organizational performance in setting the standard in quality and safety.

Fourth Patient with Ebola Virus Disease Will Be Transferred to Emory University Hospital

Emory Healthcare New BrandEmory University Hospital is expecting to receive a patient from Texas Health Presbyterian Hospital in Dallas later today, Oct. 15. The patient is the second of two health care workers infected while caring for a patient at the Dallas hospital.

The Centers for Disease Control and Prevention (CDC) and Texas Health Resources specifically requested that the patient be transferred to Emory Healthcare.

The patient will be treated in the same isolation unit at Emory University Hospital in which three patients have already been treated. The first two patients were discharged in late August and a third patient is still being treated.

Emory University Hospital physicians, nurses and staff are highly trained in the specific and unique protocols and procedures necessary to treat and care for this type of patient.

Emory is bound by patient confidentiality and has no additional information regarding this patient.

UPDATE: October 28, 2014

Emory University Hospital physicians, in collaboration with the Centers for Disease Control and Prevention, are pleased to report that the Ebola patient from Dallas that arrived on Oct. 15, Amber Vinson, will be discharged today and is free of the virus.

Emory University Hospital will hold a news conference today at 1 p.m., where Bruce Ribner, MD, medical director of Emory’s Serious Communicable Disease Unit, will discuss the discharge of Amber Vinson from the hospital and answer media questions. Amber Vinson will also be present and will make a statement, but will not take questions.

UPDATE: October 20, 2014

A patient who was transported to Emory University Hospital on Sept. 9 with Ebola virus disease was discharged from the hospital on Oct. 19, 2014.

In coordination with the CDC and Georgia Department of Public Health, the patient was determined to be free of virus and to pose no public health threat. The patient has asked to remain anonymous and left the hospital for an undisclosed location. He will make a statement at a later date.

The patient was treated in the Serious Communicable Disease Unit in Emory University Hospital. Two other patients who were treated for Ebola virus disease were discharged from the hospital on Aug. 19 and Aug. 21. A fourth patient, who arrived on Oct. 15, 2014, is still being treated for Ebola virus disease in Emory’s Serious Communicable Disease Unit.

UPDATE: October 15, 2014

A patient with Ebola virus disease arrived at Emory University Hospital on Wednesday, Oct. 15, at approximately 8:30 p.m. ET. The patient was transported by air ambulance from Dallas, Texas.

The patient will be treated in the special isolation unit in which three other patients have been treated. Two of those patients were discharged in late August and a third is still being treated.

Emory is bound by patient confidentiality and has no information regarding the status of the patient.

UPDATE: October 15, 2014

Emory is currently caring for a third patient with Ebola virus disease who arrived at Emory University Hospital on Sept. 9. Emory is bound by patient confidentiality and has provided no information regarding the status of the patient.

Given the recent news regarding the diagnosis of Ebola virus disease in health care workers, the patient has requested that we release the following statement, but continue to maintain anonymity:

Statement From Emory University Hospital Patient Recovering From Ebola

“Given the national focus on Ebola, particularly with the diagnosis in two health care workers, I want to share the news that I am recovering from this disease, and that I anticipate being discharged very soon, free from the Ebola virus and able to return safely to my family and to my community.

As a result of the virus, my condition worsened and I became critically ill soon after I arrived at Emory. Through rigorous medical treatment, skillful nursing, and the full support of a healthcare team, I am well on the way to a full recovery. I want the public to know that although Ebola is a serious, complex disease, it is possible to recover and return to a healthy life. I wish to retain my anonymity for now, but I anticipate sharing more information in future weeks as I complete my recovery.”

Emory Expansion Update: Emory Saint Joseph’s Hospital Campus Announces New Practice Locations!

Emory on the Move

To provide a better patient care experience and align demand with available capacity, many Emory Clinic and Emory Healthcare practices are relocating to redesigned clinical space and/or new locations. The new spaces will be more inviting for patients and more accommodating to the needs of our physicians as well. As of October 6, 2014, the providers below will be seeing patients at the new corresponding locations:

Emory Clinic Gastroenterology

CURRENT ADDRESS
875 Johnson Ferry Road
Suite 200
Atlanta, GA 30342

NEW LOCATION
5673 Peachtree Dunwoody Road
Suite 500
Atlanta, GA 30342

MOVING PROVIDERS
Tanvi Dhere, MD
Julia Massaad, MD
Sonali Sakaria, MD
Kavya Sebastian, MD
Nikrad Shahnavaz, MD

If you have any questions, please call 404-778-3184.

Emory at Saint Joseph’s Pulmonary Medicine (formerly Emory Atlanta Pulmonary Group

CURRENT LOCATION 
5667 Peachtree Dunwoody Road
Suite 350
Atlanta, GA 30342

NEW LOCATION
5673 Peachtree Dunwoody Road
Suite 500
Atlanta, GA 30342

MOVING PROVIDERS
Juan Carlos Armstrong, MD, FCCP
Juan C. Cadavid, MD
Joyce Crook, NPC
Eliana Gonzalez, MD
Paul Scheinberg, MD
Leslie Watters, MD, FCCP

If you have any questions, please call 404-252-7200.

Emory Clinic Anticoagulation Management Services

CURRENT LOCATION 
875 Johnson Ferry Road
Suite 100
Atlanta, GA 30342

NEW LOCATION
Emory Heart & Vascular Center
5671 Peachtree Dunwoody Road
Suite 300B
Atlanta, GA 30342

If you have any questions, please call 404-778-4451.

Emory Clinic Internal Medicine

CURRENT ADDRESS 
875 Johnson Ferry Road
Suite 200
Atlanta, GA 30342

NEW LOCATION
5673 Peachtree Dunwoody Road
Suite 500
Atlanta, GA 30342

MOVING PROVIDERS
Dipak Vashi, MD
Sanjay Khant, MD
Shabnam Shah, MD
Christine Stoltz, MD
Kimberly Shumate, MD
Meekyung Kim, MD
Paul Baird, MD
Jennifer Morgan, MD, MPH
Cheryl Buck-Patterson, MD

If you have any questions, please call 404-778-6100.

Emory Clinic Geriatrics

CURRENT ADDRESS 
1821 Clifton Road, NE
Atlanta, GA 30329

NEW LOCATION
5673 Peachtree Dunwoody Road
Suite 500
Atlanta, GA 30342

MOVING PROVIDERS
Thomas Price, MD, CMD (Will see patients once a week at Wesley Woods for routine visits.)
Khurram Khan, MD
Sara Sambandham, MD (effective November 1)
Karen Kress, NP
Scott Akins, NP (effective October 1)

If you have any questions, please call 404-728-6363.

For more information, visit http://emoryhealthcare.org/expansion/moves.html

President Obama Meets Emory Ebola Team

Obama at EmoryPresident Barack Obama met with Ebola experts from Emory Healthcare as part of his Sept. 16 visit to the federal Centers for Disease Control & Prevention.

Obama visited the Atlanta-based CDC for an update on the Ebola virus outbreak in West Africa and the U.S. response to it. The president met with Emory University Hospital physicians, nurses and others involved with the treatment of Ebola patients here before giving an address where he announced a significant expansion of U.S. efforts to combat the disease.

The president’s meetings with the Emory Healthcare team were closed to the press, but he discussed Emory’s efforts in his public remarks, saying, “Here I have got to commend everybody at Emory University Hospital. I just had the opportunity to meet with Doctors Gartland and Ribner and members of their team and the nurses who — sorry doctors, but having been in hospitals, I know they are the ones really doing the work — and I had a chance to thank them for their extraordinary efforts in helping to provide care for the first Americans who recently contracted the disease in Africa.”

Last month, Emory University Hospital became the first hospital in the United States to treat patients with Ebola virus disease. Emory’s first two Ebola patients, both American citizens who became infected with the virus while providing humanitarian aid in West Africa, were cared for in a special isolation unit. Both were discharged in late August after Emory physicians determined, in collaboration with the CDC and state health departments, that they had recovered from Ebola virus infection and posed no public health concerns.

A third patient with Ebola arrived at Emory from West Africa on Sept. 9 and is being treated in the same isolation unit.

Related Resources:

 

Emory and Ebola – FAQ’s

Emory Healthcare New BrandEmory Healthcare has been given the privilege of treating multiple patients infected with Ebola virus.  Emory University Hospital physicians, nurses and staff are highly trained in the specific and unique protocols and procedures necessary to treat and care for these type of patients. We are honored to have the privilege of caring for these patients who contracted Ebola while serving our global community. It is our moral obligation to always use our expertise, training, knowledge and gifts to provide such extraordinary care for others.

We have prepared the following FAQs to provide more information on the topic of Ebola and Emory’s care for patients infected with this deadly virus. You can also watch this Video Q&A from Emory Healthcare Physicians on Ebola.

About Ebola

About Emory University Hospital

Related Resources:

 

Emory Expansion Update: Emory Clinic at Flat Shoals is On the Move!

Emory on the MoveTo provide a better patient care experience and align demand with available capacity, many Emory Clinic and Emory Healthcare practices are relocating to redesigned clinical space and/or new locations. The new spaces will be more inviting for patients and more accommodating to the needs of our physicians as well.

As of September 15, 2014, the providers from Emory Clinic at Flat Shoals will be available at the locations and schedules below:


Harold Moore, Jr., MD

Hillandale: Monday through Friday

Nicholas Church, MD
Decatur: Monday, Tuesday, Thursday, Friday
Hillandale: Wednesday

William Bryson, PA
Decatur: Monday, Tuesday
Hillandale: Friday

Beginning September 15th, patients will be seen at the below welcoming locations:

Emory Clinic at Decatur
2801 N. Decatur Rd, Suite 295
Decatur, GA 30033
Phone: 404-778-6400

Emory Clinic at Hillandale
5461 Hillandale Drive, Suite 100
Lithonia, GA 30058
Phone: 404-778-8600

For more information, call 404-778-8600 or get details online, at emoryhealthcare.org/expansion/moves.html.

Video Blog: Emory Ebola Patients Discharged

As of yesterday, we confirm that the two Americans infected with the Ebola virus while providing humanitarian aid in West Africa have been discharged from Emory University Hospital. The two patients, Dr. Kent Brantly and Nancy Writebol, were the first Ebola patients to be treated in the United States. Writebol was discharged from Emory University Hospital on Tuesday, Aug. 19, 2014, and Dr. Brantly was discharged Thursday, Aug. 21, 2014.

Emory’s Bruce Ribner, MD, and Dr. Kent Brantly spoke at a press conference yesterday afternoon, Aug. 21, about their experiences over the last few weeks. Watch a portion of the news conference below to learn more!

Video Blog: Q&A from Emory Healthcare Physicians on Ebola

Emory University Hospital recently received two American patients who contracted Ebola while serving on a humanitarian mission overseas. Emory University Hospital is one of the very few hospitals in the country equipped to provide their care, and our highly trained staff and physicians are ready to provide them outstanding care of the highest quality.

The media and the global community continues to have great interest in both of these patients. Physicians at Emory University Hospital spoke at a press briefing last Friday, Aug. 1 about Ebola patients being treated in a special isolation facility. Watch highlights of their remarks below to learn more.

Answering the Question of Why

Susan Grant, RNWe have received a lot of feedback since the news broke that our team at Emory University Hospital would be caring for two patients who contracted Ebola while serving on a humanitarian mission. In an opinion editorial in Wednesday’s Washington Post, Susan Grant, RN, chief nursing executive for Emory Healthcare, explains the many reasons for Emory’s commitment to helping these patients. Read more here.