Journal
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
Volume 102, Issue 11, Pages 1014-1019Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0000000000002269
Keywords
Potentially Preventable Readmission; Acute Rehabilitation; Inpatient Rehabilitation Facility; Health Metrics
Categories
Ask authors/readers for more resources
This study aims to identify causes and risk factors for potentially preventable readmissions after discharge from an inpatient rehabilitation facility. The study found that patients with more comorbidities, initial admission with a spinal cord injury, or lower Functional Independence Measure motor scores upon admission or discharge from the facility were more likely to experience a potentially preventable readmission. The most common diagnoses for potentially preventable readmissions were sepsis, renal failure, respiratory problems, and urinary tract infection.
Objective The aim of the study is to identify causes and risk factors for potentially preventable readmissions of patients discharged from an inpatient rehabilitation facility.Design Our hospital billing database was used to identify patients discharged from our inpatient rehabilitation facility between 2013 and 2018 and experienced a potentially preventable readmission within 90 days (n = 75). Retrospective chart review was completed to obtain clinical data. Of the patients discharged from the inpatient rehabilitation facility who did not experience a potentially preventable readmission, a group of age- and sex-matched controls (n = 75) was randomly selected. The two study groups were compared using univariate and multivariate analyses.Results Our study found that individuals who discharged from acute inpatient rehabilitation were more likely to be readmitted with a potentially preventable readmission if they have a greater number of comorbidities, were admitted initially with a spinal cord injury, or have lower admission or discharge Functional Independence Measure motor scores. The most common potentially preventable readmission diagnoses were sepsis, renal failure, respiratory problems, and urinary tract infection.Conclusions Identifying patients with the common causes for potentially preventable readmissions, in addition to the noted risk factors, is an important consideration for inpatient rehabilitation discharge planning.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available