Prediction of Discharge Destination After Inpatient Rehabilitation for Stroke Using Mobility and Self-Care Assessment in Section GG of the Inpatient Rehabilitation Facility – Patient Assessment Instrument

Autor: Janet Herbold, PT, PhD, MPH, Ebrahim Elmohsen, PT, DPT, Gino Gutierrez, PT, DPT, Michael Helgesen, DPT, Suzanne Babyar, PT, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archives of Rehabilitation Research and Clinical Translation, Vol 5, Iss 4, Pp 100292- (2023)
Druh dokumentu: article
ISSN: 2590-1095
DOI: 10.1016/j.arrct.2023.100292
Popis: Objective: To determine the ability of Section GG of the Inpatient Rehabilitation Facility – Patient Assessment Inventory (Section GG)’s quantification of mobility and self-care to predict discharge destination for persons with stroke after inpatient rehabilitation. Design: Retrospective, observational cohort study. Setting: 150-bed inpatient rehabilitation facility within a metropolitan health system. Participants: Consecutive sample of adults and older adults with stroke admitted for inpatient rehabilitation from January 2020 to June 2021 (N=1051). Subjects were excluded for discharge to acute care or hospice or if they had COVID-19. Intervention: None. Main Outcome Measures: Section GG self-care and mobility scores used in reimbursement formulation by Centers for Medicare and Medicaid at admission to inpatient rehabilitation; age; sex; prior living situation; discharge setting. Logistic regression examined binary comparisons of discharge destinations. Receiver operating characteristic (ROC) curves determined cut-off admission Section GG scores for binary comparisons. Results: Logistic regression demonstrated that presence of a caregiver in the home was consistently the strongest predictor (P
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