Association of Impaired Functional Status at Hospital Discharge and Subsequent Rehospitalization
Association of Impaired Functional Status at Hospital Discharge and Subsequent Rehospitalization
复制标题
DOI：
10.1002/jhm.2152
复制
发表时间：
2014-05-01
影响因子：
2.6
通讯作者：
Brotman, Daniel J.
中科院分区：
文献类型：
--
作者：
Hoyer, Erik H.;Needham, Dale M.;Brotman, Daniel J.
ACTIOVETo确定是否功能状态附近的时间从急性护理住院出院与急性护理recommissation.PATIENTS和METHODSRetrospective队列研究9405连续患者从急性护理医院收治的住院康复设施之间的2006年7月1日和2012年12月31日。通过功能独立性测量（Functional Independence Measure，简称FIELD）评分评估患者入院时的功能状态，并将其分为低、中、高功能状态。主要结果是在急性护理出院后30天内再次入住急性护理医院（所有患者和根据诊断组划分的亚组：内科、骨科或神经科）。低、中、高CRP评分组的校正比值比（OR）和95%可信区间（CI）为3.0（2.5-3.6; P
OBJECTIVETo determine whether functional status near the time of discharge from acute care hospitalization is associated with acute care readmission.PATIENTS AND METHODSRetrospective 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).RESULTSThere 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