Association of impaired functional status at hospital discharge and subsequent rehospitalization

Erik Hans Hoyer, Dale Needham, Levan Atanelov, Brenda Knox, Michael Friedman, Daniel Brotman

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To determine whether functional status near the time of discharge from acute care hospitalization is associated with acute care readmission. PATIENTS AND METHODS: Retrospective cohort study of 9405 consecutive patients admitted from an acute care hospital to an inpatient rehabilitation facility between July 1, 2006 and December 31, 2012. Patients' functional status at admission to the rehabilitation facility was assessed by the Functional Independence Measure (FIM) score, and divided into low, middle, or high functional status. The main outcome was readmission to an acute care hospital within 30 days of acute care discharge (for all patients and by subgroup according to diagnostic group: medical, orthopedic, or neurologic). RESULTS: There were 1182 (13%) readmissions. FIM score was significantly associated with readmission, with adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for low and middle versus high FIM score category of 3.0 (2.5-3.6; P

Original languageEnglish (US)
Pages (from-to)277-282
Number of pages6
JournalJournal of Hospital Medicine
Volume9
Issue number5
DOIs
StatePublished - 2014

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Rehabilitation
Patient Discharge
Nervous System
Orthopedics
Inpatients
Hospitalization
Cohort Studies
Retrospective Studies
Odds Ratio
Confidence Intervals

ASJC Scopus subject areas

  • Health Policy
  • Assessment and Diagnosis
  • Care Planning
  • Fundamentals and skills
  • Leadership and Management
  • Medicine(all)

Cite this

Association of impaired functional status at hospital discharge and subsequent rehospitalization. / Hoyer, Erik Hans; Needham, Dale; Atanelov, Levan; Knox, Brenda; Friedman, Michael; Brotman, Daniel.

In: Journal of Hospital Medicine, Vol. 9, No. 5, 2014, p. 277-282.

Research output: Contribution to journalArticle

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AU - Brotman, Daniel

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