| Titre : | Use of Hospital-Based Rehabilitation Services and Hospital Readmission Following Ischemic Stroke in the United States (2019) |
| Auteurs : | Amit Kumar ; Linda Resnik ; Amol Karmarkar |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 7, 2019) |
| Article en page(s) : | p. 1218-1225 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ergothérapie ; Hémiplégie ; Rééducation et réadaptation |
| Résumé : |
Objective
To examine the association between hospital-based rehabilitation service use and all-cause 30-day hospital readmission among patients with ischemic stroke. Design Secondary analysis of inpatient Medicare claims data using Standard Analytical Files. Setting Acute hospitals across the United States. Participants From nationwide data, Medicare fee-for-service beneficiaries (N=88,826) aged 66 years or older hospitalized for ischemic stroke between January to November 2010. Interventions Hospital-based rehabilitation services were quantified using Medicare inpatient claims revenue center codes for evaluation (occupational therapy [OT] and physical therapy [PT]), as well as the number of therapy units delivered. Therapy minutes for both OT and PT services were categorized into none, low, medium, and high. Main Outcome Measures All-cause 30-day hospital readmission. A generalized linear mixed model was used to examine the effect of hospital-based rehabilitation services on 30-day hospital readmission, after adjusting for patient and hospital characteristics. Results In fully adjusted models, compared to patients who received no PT, we observed a monotonic inverse relationship between the amount of PT and hospital readmission. For low PT (30 minutes), the odds ratio (OR) was 0.90 (95% confidence interval [CI], 0.83-0.96). For medium PT (>30 to ≤75 minutes), the OR was 0.89 (95% CI, 0.82-0.95). For high PT (>75 minutes), the OR was 0.86 (95% CI, 0.80-0.93). Conclusion Hospital-based PT services were associated with lower risk of 30-day hospital readmission in patients with ischemic stroke. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319300127 |
Bibliothèques HE Vinci
