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

    7 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

    Fingerprint

    Inpatients
    Rehabilitation
    Orthopedics
    Stroke
    Patient Discharge
    Linear Models
    Japan
    Cross-Sectional Studies
    Regression Analysis
    Therapeutics

    Keywords

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

    ASJC Scopus subject areas

    • Rehabilitation

    Cite this

    Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities. / Badriah, Fase; Abe, Takeru; Miyamoto, Hidekazu; Moriya, Megumi; Babazono, Akira; Hagihara, Akihito.

    In: Journal of Rehabilitation Research and Development, Vol. 50, No. 6, 2013, p. 821-833.

    Research output: Contribution to journalArticle

    Badriah, Fase ; Abe, Takeru ; Miyamoto, Hidekazu ; Moriya, Megumi ; Babazono, Akira ; Hagihara, Akihito. / Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities. In: Journal of Rehabilitation Research and Development. 2013 ; Vol. 50, No. 6. pp. 821-833.
    @article{aecabcae434d4519827f5eb9f8423d62,
    title = "Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities",
    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.",
    keywords = "Diagnosis, Discharge destination, Disuse syndrome, Functional abilities, Functional independence measure, Inhospital, Orthopedic, Rehabilitation, Stroke, Therapy",
    author = "Fase Badriah and Takeru Abe and Hidekazu Miyamoto and Megumi Moriya and Akira Babazono and Akihito Hagihara",
    year = "2013",
    doi = "10.1682/JRRD.2012.08.0153",
    language = "English",
    volume = "50",
    pages = "821--833",
    journal = "Journal of rehabilitation R&D",
    issn = "0748-7711",
    publisher = "Rehabilitation Research and Development Service",
    number = "6",

    }

    TY - JOUR

    T1 - Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities

    AU - Badriah, Fase

    AU - Abe, Takeru

    AU - Miyamoto, Hidekazu

    AU - Moriya, Megumi

    AU - Babazono, Akira

    AU - Hagihara, Akihito

    PY - 2013

    Y1 - 2013

    N2 - 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.

    AB - 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.

    KW - Diagnosis

    KW - Discharge destination

    KW - Disuse syndrome

    KW - Functional abilities

    KW - Functional independence measure

    KW - Inhospital

    KW - Orthopedic

    KW - Rehabilitation

    KW - Stroke

    KW - Therapy

    UR - http://www.scopus.com/inward/record.url?scp=84883867984&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=84883867984&partnerID=8YFLogxK

    U2 - 10.1682/JRRD.2012.08.0153

    DO - 10.1682/JRRD.2012.08.0153

    M3 - Article

    C2 - 24203544

    AN - SCOPUS:84883867984

    VL - 50

    SP - 821

    EP - 833

    JO - Journal of rehabilitation R&D

    JF - Journal of rehabilitation R&D

    SN - 0748-7711

    IS - 6

    ER -