Factors predicting rehospitalization of elderly patients in a postacute skilled nursing facility rehabilitation program

Archives of Physical Medicine and Rehabilitation
Wen DombrowskiChaim Y Tarshish

Abstract

To examine potential risk factors for rehospitalization of skilled nursing facility (SNF) rehabilitation patients. Retrospective review of rehabilitation charts. SNF rehabilitation beds (n=114) at a 514-bed urban, academic nursing home that receives patients from tertiary care hospitals. Consecutive rehabilitation patients (n=50) who were rehospitalized during days 4 to 30 of rehabilitation, compared with a matched group of rehabilitation patients (n=50) who were discharged without rehospitalization. Not applicable. Data on potential risk factors were collected: demographics, medical history, conditions associated with preceding hospitalization, and initial rehabilitation examination and laboratory values. The clinical conditions precipitating rehospitalizations were noted. Sixty-two percent of rehospitalizations were related to complications or recurrence of the same medical condition that was treated during the preceding hospitalization. The rehospitalized group had significantly more comorbidities including anemia (P=.001) and malignant solid tumors (P<.001), index hospitalizations involving a gastrointestinal condition (P=.001), needed more assistance with eating (P=.001) and walking (P=.03), and had lower hemoglobin (P=.00...Continue Reading

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