• Login
    View Item 
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Acute Inpatient Rehabilitation Improves Function Independent of Comorbidities in Medically Complex Patients.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Author
    Zhang, Shangming
    Lin, Dan
    Wright, Megan E
    Swallow, Nicole
    Date
    2022-01-12
    Journal
    Archives of Rehabilitation Research and Clinical Translation
    Publisher
    Elsevier
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1016/j.arrct.2022.100178
    Abstract
    Objectives: (1) To evaluate the benefits of acute inpatient rehabilitation for a medically complex patient population and (2) to assess the effect of comorbid conditions on rehabilitation outcomes. Design: Retrospective cohort study. Setting: Freestanding inpatient rehabilitation facility. Participants: A total of 270 medically complex adult patients including those with cardiac, pulmonary, and orthopedic conditions, with mean age of 73.6 years; 52.6% were female and 47.4% were male (N=270). Interventions: Not applicable. Main outcome measures: Functional Independence Measure (FIM) gain, FIM efficiency, rehabilitation length of stay (RLOS), home discharge rate, and readmission to acute care (RTAC). Results: Among 270 medically complex patients, mean total FIM gain, mean RLOS, and mean FIM efficiency with SD were 26.0±13.6 points, 12.6±5.9 days, and 2.3±1.6, respectively. A total of 71.9% of patients were discharged to home, 12.2% for RTAC, and 15.9% to a skilled nursing facility (SNF). Hypertension (HTN) was the only comorbidity significantly associated with FIM gain (53.7% [total FIM gain ≥27] vs 67.2% [total FIM gain <27]; P=.024) and FIM efficiency (53.3% [FIM efficiency ≥2.12] vs 67.4% [FIM efficiency <2.12]; P=.025), independent of age, body mass index, sex, race, ethnicity, insurance type, and Charlson Comorbidity Index. The 5 most common reasons for RTAC were cardiac, pulmonary, acute blood loss anemia, infection, and neurologic conditions. Conclusions: Among 270 medically complex patients, 71.9% were discharged to home, 15.9% to an SNF, and 12.2% for RTAC with a mean RLOS 12.6 days, mean total FIM gain of 26 points, and mean FIM efficiency of 2.3, which were all better than those of all admissions at our facility in 2018. Furthermore, RLOS, total FIM gain and FIM efficiency in this study were all better than their corresponding eRehabData weighted national benchmarks (RLOS, 15.82 days; FIM gain, 25.57; FIM efficiency, 2.13) for a total of 202,520 discharges in 2018. These findings support acute inpatient rehabilitation for this patient population. With the exception of HTN, no medical comorbidities or demographic variables were associated with rehabilitation outcomes.
    Rights/Terms
    © 2022 The Authors.
    Keyword
    Centers for Medicare and Medicaid Services
    Comorbidity
    Rehabilitation
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/19296
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.arrct.2022.100178
    Scopus Count
    Collections
    UMB Open Access Articles

    entitlement

    Related articles

    • Investigating inpatient rehabilitation outcomes of patients with intensive care unit-acquired weakness, and identifying comorbidities associated with unfavorable outcomes.
    • Authors: Rudra RT, Lin D, Miller B, Du P, Zhang S
    • Issue date: 2022 Feb
    • Readmission to an Acute Care Hospital During Inpatient Rehabilitation for Traumatic Brain Injury.
    • Authors: Hammond FM, Horn SD, Smout RJ, Beaulieu CL, Barrett RS, Ryser DK, Sommerfeld T
    • Issue date: 2015 Aug
    • Outcomes of Inpatient Rehabilitation in Patients With Simultaneous Bilateral Total Knee Arthroplasty.
    • Authors: Chu SK, Babu AN, McCormick Z, Mathews A, Toledo S, Oswald M
    • Issue date: 2016 Aug
    • Functional outcomes of adult patients with West Nile virus admitted to a rehabilitation hospital.
    • Authors: Hoffman JE, Paschal KA
    • Issue date: 2013 Apr-Jun
    • Efficacy of Inpatient Rehabilitation After Left Ventricular Assist Device Implantation.
    • Authors: Yost G, Coyle L, Milkevitch K, Adair R, Tatooles A, Bhat G
    • Issue date: 2017 Jan
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.