Home-based Rehabilitation After Inpatient Rehabilitation: Utilization Rate and Characteristics of Referred Patients

To determine the utilization rate of a home-based rehabilitation program after an inpatient rehabilitation stay, and to investigate the profile of users. Observational study. Inpatient rehabilitation facility in a tertiary hospital. Older patients (N=1913) discharged home between June 2018 and May 2...

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Veröffentlicht in:Archives of physical medicine and rehabilitation Jg. 105; H. 11; S. 2135
Hauptverfasser: Bosshard, Wanda, Seematter-Bagnoud, Laurence, Major, Kristof, Krief, Hélène, Büla, Christophe J
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.11.2024
Schlagworte:
Aged
Aged, 80 and over
Female
Home Care Services - statistics & numerical data
Humans
Inpatients - statistics & numerical data
Male
Middle Aged
Patient Discharge - statistics & numerical data
Referral and Consultation - statistics & numerical data
Rehabilitation Centers - statistics & numerical data
Self Care - statistics & numerical data
Sex Factors
Older patients
Mobility performance
Home-based rehabilitation
Functional performance
ISSN:1532-821X, 1532-821X
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Zusammenfassung:To determine the utilization rate of a home-based rehabilitation program after an inpatient rehabilitation stay, and to investigate the profile of users. Observational study. Inpatient rehabilitation facility in a tertiary hospital. Older patients (N=1913) discharged home between June 2018 and May 2021, after an inpatient rehabilitation stay. Not applicable. Discharge to home-based rehabilitation. Over the study period, 296 (15.5%) patients were discharged to home-based rehabilitation. Compared with the others, home-based rehabilitation patients were more frequently women (69.6% vs 61.5%; P=.008), and admitted after orthopedic surgery (elective or for fracture) (30.1% vs 16.1%; P<.001). They had worse functional performance at admission (mean Functional Independence Measure self-care score: 27.8±7.3 vs 30.8±6.7; P<.001), but greater gain in self-care during their inpatient stay (5.0±4.8 vs 4.4±4.7; P=.038). In multivariable analysis, being a woman (adjusted odds ratio [adjOR], 1.36; 95% confidence interval [CI], 1.01-1.82; P=.040), being admitted after orthopedic surgery (adjOR, 2.32; 95% CI, 1.64-3.27; P<.001), being admitted for gait disorders or falls (adjOR, 1.38; 95% CI, 1.01-1.88; P=.039), and showing greater gain in mobility during the inpatient stay (adjOR, 1.12; 95% CI, 1.07-1.17; P<.001) remained associated with discharge to home-based rehabilitation. In contrast, higher mobility at discharge decreased the odds of discharge to home-based rehabilitation (adjOR, 0.87; 95% CI, 0.83-0.91; P<.001). One in 6 patients benefited from home-based rehabilitation after their inpatient stay. Although these patients had poorer functional performance at admission and discharge, they showed greater mobility improvement during their inpatient stay, suggesting that their good recovery potential was a key determinant of their orientation toward home-based rehabilitation.
Bibliographie:ObjectType-Article-1
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ISSN:1532-821X
1532-821X
DOI:10.1016/j.apmr.2024.07.011