Functional status impairment is associated with unplanned readmissions

Erik Hans Hoyer, Dale Needham, Jason Miller, Amy Deutschendorf, Michael Friedman, Daniel Brotman

Research output: Contribution to journalArticle

Abstract

Objective To determine whether functional status on admission to a Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP) is associated with unplanned readmission to acute care. Design Retrospective cohort study. Setting Academic hospital-based CIIRP. Participants Consecutive patients (N=1515) admitted to a CIIRP between January 2009 and June 2012. Interventions Patients' functional status, the primary exposure variable, was assessed using tertiles of the total FIM score at CIIRP admission, with secondary analyses using the FIM motor and cognitive domains. A propensity score, consisting of 25 relevant clinical and demographic variables, was used to adjust for confounding in the analysis. Main Outcome Measures Readmission to acute care was categorized as (1) readmission before planned discharge from the CIIRP, (2) readmission within 30 days of discharge from the CIIRP, and (3) total readmissions from both groups, with total readmissions being the a priori primary outcome. Results Among the 1515 patients, there were 347 total readmissions. Total readmissions were significantly associated with FIM scores, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for the lowest and middle FIM tertiles versus the highest tertile (AOR=2.6; 95% CI, 1.9-3.7; P

Original languageEnglish (US)
Pages (from-to)1951-1958
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume94
Issue number10
DOIs
StatePublished - Oct 2013

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Inpatients
Rehabilitation
Odds Ratio
Confidence Intervals
Propensity Score
Cohort Studies
Retrospective Studies
Demography
Outcome Assessment (Health Care)

Keywords

  • Patient readmission
  • Propensity score
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Functional status impairment is associated with unplanned readmissions. / Hoyer, Erik Hans; Needham, Dale; Miller, Jason; Deutschendorf, Amy; Friedman, Michael; Brotman, Daniel.

In: Archives of Physical Medicine and Rehabilitation, Vol. 94, No. 10, 10.2013, p. 1951-1958.

Research output: Contribution to journalArticle

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