Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities

Fase Badriah, Takeru Abe, Hidekazu Miyamoto, Megumi Moriya, Akira Babazono, Akihito Hagihara

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    A patient's functional ability after hospital discharge may be influenced by in-hospital rehabilitation and discharge destination. However, we know very little about how in-hospital rehabilitation intervention interacts with the type of discharge destination or how this interaction influences patients' functional abilities. Thus, how an interaction between in-hospital rehabilitation and discharge destination influences a patient's subsequent functional ability was examined. This was a cross-sectional study whose participants were inpatients who underwent rehabilitation between February 2008 and December 2010 at a hospital in Japan (n = 835). Participants were categorized into three condition groups (i.e., stroke, orthopedic, disuse syndrome). Then, interaction effects between the rehabilitation therapy and the type of discharge destination on a patient's subsequent functional ability were estimated by hierarchical linear regression analysis in each of the three subgroups. In models where the dependent variable was Functional Independence Measure (FIM) score at 3 mo after hospital discharge, a significant interaction between rehabilitation potential (a measure based on the FIM effectiveness measure) and discharge destination (home or other) was observed in the stroke and orthopedic patients (both p < 0.001). These findings may be useful in deciding on discharge destinations for patients.

    Original languageEnglish
    Pages (from-to)821-833
    Number of pages13
    JournalJournal of Rehabilitation Research and Development
    Volume50
    Issue number6
    DOIs
    Publication statusPublished - 2013

    Keywords

    • Diagnosis
    • Discharge destination
    • Disuse syndrome
    • Functional abilities
    • Functional independence measure
    • Inhospital
    • Orthopedic
    • Rehabilitation
    • Stroke
    • Therapy

    ASJC Scopus subject areas

    • Rehabilitation

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