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Titre : | Measuring Discharge Outcomes, Length of Stay, and Functional ADL Score During COVID-19 in Inpatient Rehabilitation Hospitals (2021) |
Auteurs : | Caitlin Hartsgrove ; Jenieve Guevarra-Fernandez ; Jamila A. Kendall ; Gabrielle Delauter ; Steven C. Kirshblum |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 12, 2021) |
Article en page(s) : | p. 2291-2299 |
Note générale : |
https://doi.org/10.1016/j.apmr.2021.07.003Get rights and content
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Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; COVID-19 ; Durée du séjour ; Médecine physique et de réadaptation ; Réadaptation ; SARS-CoV-2 ; Sortie du patient |
Résumé : |
Objective
To measure discharge disposition, length of stay (LOS), and functional activities of daily living (ADL) scores for patients admitted to acute inpatient rehabilitation hospitals (IRHs) during the coronavirus disease 2019 (COVID-19) pandemic and to compare these parameters with a period prior to the pandemic. Design Retrospective cohort study via systematic retrospective chart review of consecutive patients admitted to IRHs from January 1-February 19, 2020 (preCOVID-19T), and COVID-19 time period/patients admitted from April 1, 2020-May 9, 2020 (COVID-19T). Setting System of 3 IRHs in the Northeastern United States. Participants PreCOVID-19T, n=739; COVID-19T, n=335, of whom n=139 were positive for COVID-19 (COVID+) and n=196 were negative (COVID−) (N=1074). Interventions Not applicable. Main Outcome Measures Discharge disposition, LOS, and functional ADL scores. Results COVID-19T patients were younger (P=.03) and less likely to be White (P=.03). These patients also had a higher case mix index (CMI; P<.01 longer acute care los and irh patients who were covid covid-19t less likely to be white had lower cmi higher admission discharge functional adl scores p compared with those there no differences in outcomes between pre cohorts including when stratified for covid-19 status on than though not significant> Conclusions There were no differences in discharge outcomes for any group. IRH LOS was significantly increased during the pandemic, but there were no statistically significant differences between the COVID+ and COVID− cohorts within COVID-19T. Functional ADL scores were significantly lower during COVID-19T, but COVID status was not a significant predictor. This suggests that COVID+ status was not a barrier to discharge or functional outcomes. This supports the importance of IRHs to restore function and discharge patients to home, even with a more medically complex COVID-19 pandemic population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321005165#! |