Interaction effects between rehabilitation and discharge destination on inpatient’s functional abilities
| Autor: | Takeru Abe, Hidekazu Miyamoto, Fase Badriah, Akira Babazono, Akihito Hagihara, Megumi Moriya |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Patient Transfer medicine.medical_specialty Cross-sectional study medicine.medical_treatment Disability Evaluation Fractures Bone Young Adult Hospitals Chronic Disease Physical medicine and rehabilitation Japan Assisted Living Facilities medicine Humans Functional ability Young adult Muscle Skeletal Patient transfer Stroke Aged Aged 80 and over Rehabilitation business.industry Age Factors Stroke Rehabilitation Neuromuscular Diseases Middle Aged Models Theoretical medicine.disease Functional Independence Measure Muscular Disorders Atrophic Patient Discharge Nursing Homes Cross-Sectional Studies Orthopedic surgery Physical therapy Female business |
| Zdroj: | Journal of Rehabilitation Research and Development. 50:821-834 |
| ISSN: | 1938-1352 0748-7711 |
| DOI: | 10.1682/jrrd.2012.08.0153 |
| Popis: | A patient's functional ability after hospital discharge may be influenced by in-hospital rehabilitation and discharge destination. However, we know very little about how in-hospital rehabilitation intervention interacts with the type of discharge destination or how this interaction influences patients' functional abilities. Thus, how an interaction between in-hospital rehabilitation and discharge destination influences a patient's subsequent functional ability was examined. This was a cross-sectional study whose participants were inpatients who underwent rehabilitation between February 2008 and December 2010 at a hospital in Japan (n = 835). Participants were categorized into three condition groups (i.e., stroke, orthopedic, disuse syndrome). Then, interaction effects between the rehabilitation therapy and the type of discharge destination on a patient's subsequent functional ability were estimated by hierarchical linear regression analysis in each of the three subgroups. In models where the dependent variable was Functional Independence Measure (FIM) score at 3 mo after hospital discharge, a significant interaction between rehabilitation potential (a measure based on the FIM effectiveness measure) and discharge destination (home or other) was observed in the stroke and orthopedic patients (both p < 0.001). These findings may be useful in deciding on discharge destinations for patients. |
| Databáze: | OpenAIRE |
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