Nursing home rehabilitation after acute rehabilitation: predictors and outcomes

Archives of Physical Medicine and Rehabilitation
J B KosasihE Duthie

Abstract

To determine the predictive factors and functional outcomes of patients who were discharged from an acute rehabilitation unit to a nursing home care unit (NHCU) at a Veterans Affairs (VA) hospital. Cohort descriptive study. An academically affiliated urban VA Medical Center. All patients (n = 81, median age 68 years) admitted to a VA rehabilitation unit over a 1-year period. Discharge locations, predictors for NHCU transfer, and functional status as determined by Functional Independence Measure (FIM) scores. Patients discharged to the NHCU (17%) were compared with those discharged to the community (80%). Multiple logistic regression analysis showed that acute rehabilitation length of stay (LOS), admission, and discharge FIM scores were the only independent variables that predicted discharge to the VA NHCU. Although overall FIM gains in both groups during acute rehabilitation were similar, the NHCU group had significantly lower admission FIM scores and lower LOS efficiency because of longer acute rehabilitation LOS. Postacute NHCU rehabilitation resulted in significant gains in FIM scores at a slower rate. Sixty-four percent of these nursing home patients eventually returned to the community. Nursing home rehabilitation can resu...Continue Reading

References

Jul 1, 1995·American Journal of Physical Medicine & Rehabilitation·A W HeinemannC Granger
Jun 1, 1995·Social Science & Medicine·R L EvansJ K Haselkorn
Jun 1, 1995·Archives of Physical Medicine and Rehabilitation·R A KeithP Gutierrez
Jun 1, 1994·Archives of Physical Medicine and Rehabilitation·J A FalconerJ M Sinacore
Dec 1, 1995·Archives of Physical Medicine and Rehabilitation·K M Kilgore
Aug 1, 1996·Archives of Physical Medicine and Rehabilitation·R A Hanks, P A Lichtenberg

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Citations

Apr 30, 2011·The Journal of Nutrition, Health & Aging·M DraméJ-L Novella
Sep 17, 1999·Archives of Physical Medicine and Rehabilitation·R A HanksS A Deshpande
Oct 7, 2004·Archives of Physical Medicine and Rehabilitation·Carol BarnesCynthia Harrison-Felix
Apr 13, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Julija StelmokasNeil B Alexander
Mar 6, 2003·Clinical Rehabilitation·B S AdityaM Vassallo

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