| Titre : | Association Between Therapy Intensity and Discharge Outcomes in Aged Medicare Skilled Nursing Facilities Admissions (2018) |
| Auteurs : | Suzanne R. O'Brien ; Ning Zhang |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 1, 2018) |
| Article en page(s) : | p. 107-115 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Durée du séjour ; Évaluation de résultat (soins) ; Rééducation et réadaptation |
| Mots-clés: | Length of stay ; Outcome Assessment (Health Care) ; Skilled Nursing Facilities ; Établissements de soins qualifiés |
| Résumé : |
Objectives To determine the association between therapy intensity and discharge outcomes for aged Medicare skilled nursing facilities (SNFs) fee-for-service beneficiaries and to determine the association between therapy intensity and time to community discharge. Design Retrospective observational design. Setting SNFs. Participants Aged Medicare fee-for-service beneficiaries (N=311,338) in 3605 SNFs. Interventions The total minutes of physical therapy, occupational therapy, and speech therapy per day were divided into intensity groups: high (≥60min); medium-high (45– Main Outcome Measures Four discharge outcomes—community, hospitalization, permanent placement, and death—were examined using a multivariate competing hazards model. For those associated with community discharge, a Poisson multivariate model was used to determine whether length of stay differed by intensity. Results High intensity therapy was associated with more community discharges in comparison to the remaining intensity groups (hazard ratio, .84, .68, and .433 for medium-high, medium-low, and low intensity groups, respectively). More hospitalizations and deaths were found as therapy intensity decreased. Only high intensity therapy was associated with a 2-day shorter length of stay (incident rate ratio, .95). Conclusions High intensity therapy was associated with desirable discharge outcomes and may shorten SNF length of stay. Despite growing reimbursements to SNFs for rehabilitation services, there may be desirable benefits to beneficiaries who receive high intensity therapy. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931731016X |
Bibliothèques HE Vinci
