Characteristics of persons rehospitalized after stroke rehabilitation

Kenneth Ottenbacher, Pam M. Smith, Sandra B. Illig, Roger C. Fiedler, Vera Gonzales, Carl V. Granger

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: To develop classification models for risk of hospital readmission 80 to 180 days after discharge based the demographic and functional characteristics of persons discharged from acute inpatient rehabilitation after stroke. Design: Retrospective, using information from US facilities subscribing to the Uniform Data System for Medical Rehabilitation (UDSMR). Setting: Information submitted to the UDSMR from 1994 through 1996 by 167 hospital and rehabilitation facilities from 40 states was examined. Participants: A total of 15,992 records of patients (mean age±standard deviation, 70.97±12.19yr) with a diagnosis of stroke were included in the final sample. The sample included 52.7% women and was 80% non-Hispanic white with an average length of stay (LOS) of 25.31±14.72 days. Interventions: Not applicable. Main Outcome Measures: Six subscales of the FIM™ instrument (self-care, spinchter control, transfers, locomotion, communication, social cognition), total FIM, and other predictor variables for regression analysis (gender, age, ethnicity, marital status, prehospital living setting, LOS, primary payer source, level of function-related group). Results: A logistic regression model included the following statistically significant variables (p<.05): Ethnicity, sphincter control, self-care ability, gender, and LOS. The greatest variability occurred among men. Exactly 18.1% of non-Hispanic white men and 17.9% of African-American men were rehospitalized. In contrast, only 10.1% of Hispanic men and 11.4% of Asian men were rehospitalized. The odds of rehospitalization were lowest for Hispanic men. Conclusion: As prospective payment systems are introduced for postacute care, it is important that the relationship among functional abilities, demographic characteristics, and incidence of hospital readmission following medical rehabilitation be examined.

Original languageEnglish (US)
Pages (from-to)1367-1374
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume82
Issue number10
DOIs
StatePublished - 2001

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Rehabilitation
Patient Readmission
Length of Stay
Aptitude
Self Care
Hispanic Americans
Information Systems
Subacute Care
Logistic Models
Demography
Prospective Payment System
Marital Status
Locomotion
African Americans
Cognition
Stroke Rehabilitation
Inpatients
Stroke
Communication
Regression Analysis

Keywords

  • Cerebrovascular accident
  • Prospective payment system
  • Rehabilitation
  • Treatment outcome

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Characteristics of persons rehospitalized after stroke rehabilitation. / Ottenbacher, Kenneth; Smith, Pam M.; Illig, Sandra B.; Fiedler, Roger C.; Gonzales, Vera; Granger, Carl V.

In: Archives of Physical Medicine and Rehabilitation, Vol. 82, No. 10, 2001, p. 1367-1374.

Research output: Contribution to journalArticle

Ottenbacher, Kenneth ; Smith, Pam M. ; Illig, Sandra B. ; Fiedler, Roger C. ; Gonzales, Vera ; Granger, Carl V. / Characteristics of persons rehospitalized after stroke rehabilitation. In: Archives of Physical Medicine and Rehabilitation. 2001 ; Vol. 82, No. 10. pp. 1367-1374.
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abstract = "Objective: To develop classification models for risk of hospital readmission 80 to 180 days after discharge based the demographic and functional characteristics of persons discharged from acute inpatient rehabilitation after stroke. Design: Retrospective, using information from US facilities subscribing to the Uniform Data System for Medical Rehabilitation (UDSMR). Setting: Information submitted to the UDSMR from 1994 through 1996 by 167 hospital and rehabilitation facilities from 40 states was examined. Participants: A total of 15,992 records of patients (mean age±standard deviation, 70.97±12.19yr) with a diagnosis of stroke were included in the final sample. The sample included 52.7{\%} women and was 80{\%} non-Hispanic white with an average length of stay (LOS) of 25.31±14.72 days. Interventions: Not applicable. Main Outcome Measures: Six subscales of the FIM™ instrument (self-care, spinchter control, transfers, locomotion, communication, social cognition), total FIM, and other predictor variables for regression analysis (gender, age, ethnicity, marital status, prehospital living setting, LOS, primary payer source, level of function-related group). Results: A logistic regression model included the following statistically significant variables (p<.05): Ethnicity, sphincter control, self-care ability, gender, and LOS. The greatest variability occurred among men. Exactly 18.1{\%} of non-Hispanic white men and 17.9{\%} of African-American men were rehospitalized. In contrast, only 10.1{\%} of Hispanic men and 11.4{\%} of Asian men were rehospitalized. The odds of rehospitalization were lowest for Hispanic men. Conclusion: As prospective payment systems are introduced for postacute care, it is important that the relationship among functional abilities, demographic characteristics, and incidence of hospital readmission following medical rehabilitation be examined.",
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