Readmission to an Acute Care Hospital During Inpatient Rehabilitation After Stroke

Amanda A. Herrmann; Ella A. Chrenka; Gretchen M. Niemioja; Sally I. Othman; Katherine R. Podoll; Annika K. Oie; Haitham M. Hussein

doi:10.1097/PHM.0000000000001844

Readmission to an Acute Care Hospital During Inpatient Rehabilitation After Stroke

Amanda A. Herrmann, Ella A. Chrenka, Gretchen M. Niemioja, Sally I. Othman, Katherine R. Podoll, Annika K. Oie, Haitham M. Hussein

Neurology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

OBJECTIVE: The aim of the study was to identify causes for readmission to acute care of patients admitted to inpatient rehabilitation facility after stroke.

DESIGN: The institutional Uniform Data System for Medical Rehabilitation database was used to identify stroke patients who experienced readmission to acute care and an equal number of age-/sex-matched group of patients who successfully completed their inpatient rehabilitation facility stay during 2005-2018. Retrospective chart review was used to extract clinical data. The two study groups were compared using univariate and multivariate analyses.

RESULTS: The rate of readmission to acute care was 4.7% (n = 89; age = 65 ± 14 yrs; 37% female; 65% White; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared with control group, the readmission to acute care group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure score on inpatient rehabilitation facility admission (55 [37-65] vs. 64 [51-78], P < 0.001), and a higher rate of sedative/hypnotic prescription (82% vs. 23%, P < 0.001).

CONCLUSIONS: Readmission to acute care is not common in our cohort. Patients who experienced readmission to acute care had higher medical complexity and were prescribed more sedative/hypnotic medications than the control group. Practitioners should be vigilant in patients who meet these criteria.

Original language	English (US)
Pages (from-to)	439-445
Number of pages	7
Journal	American Journal of Physical Medicine and Rehabilitation
Volume	101
Issue number	5
DOIs	https://doi.org/10.1097/PHM.0000000000001844
State	Published - May 1 2022

Bibliographical note

Funding Information:
This project was funded by the Research, Education, and Development fund through Regions Hospital, St Paul, MN.

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Keywords

Inpatients
Patient Readmission
Patient Transfer
Rehabilitation Centers
Stroke Rehabilitation
Length of Stay
Stroke
Humans
Middle Aged
Male
Hospitals
Female
Aged
Hypnotics and Sedatives
Retrospective Studies

PubMed: MeSH publication types

Research Support, Non-U.S. Gov't
Journal Article

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/PHM.0000000000001844

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title = "Readmission to an Acute Care Hospital During Inpatient Rehabilitation After Stroke",

abstract = "OBJECTIVE: The aim of the study was to identify causes for readmission to acute care of patients admitted to inpatient rehabilitation facility after stroke.DESIGN: The institutional Uniform Data System for Medical Rehabilitation database was used to identify stroke patients who experienced readmission to acute care and an equal number of age-/sex-matched group of patients who successfully completed their inpatient rehabilitation facility stay during 2005-2018. Retrospective chart review was used to extract clinical data. The two study groups were compared using univariate and multivariate analyses.RESULTS: The rate of readmission to acute care was 4.7% (n = 89; age = 65 ± 14 yrs; 37% female; 65% White; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared with control group, the readmission to acute care group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure score on inpatient rehabilitation facility admission (55 [37-65] vs. 64 [51-78], P < 0.001), and a higher rate of sedative/hypnotic prescription (82% vs. 23%, P < 0.001).CONCLUSIONS: Readmission to acute care is not common in our cohort. Patients who experienced readmission to acute care had higher medical complexity and were prescribed more sedative/hypnotic medications than the control group. Practitioners should be vigilant in patients who meet these criteria.",

keywords = "Inpatients, Patient Readmission, Patient Transfer, Rehabilitation Centers, Stroke Rehabilitation, Length of Stay, Stroke, Humans, Middle Aged, Male, Hospitals, Female, Aged, Hypnotics and Sedatives, Retrospective Studies",

author = "Herrmann, {Amanda A.} and Chrenka, {Ella A.} and Niemioja, {Gretchen M.} and Othman, {Sally I.} and Podoll, {Katherine R.} and Oie, {Annika K.} and Hussein, {Haitham M.}",

note = "Funding Information: This project was funded by the Research, Education, and Development fund through Regions Hospital, St Paul, MN. Publisher Copyright: {\textcopyright} Wolters Kluwer Health, Inc. All rights reserved.",

year = "2022",

month = may,

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doi = "10.1097/PHM.0000000000001844",

language = "English (US)",

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T1 - Readmission to an Acute Care Hospital During Inpatient Rehabilitation After Stroke

AU - Herrmann, Amanda A.

AU - Chrenka, Ella A.

AU - Niemioja, Gretchen M.

AU - Othman, Sally I.

AU - Podoll, Katherine R.

AU - Oie, Annika K.

AU - Hussein, Haitham M.

N1 - Funding Information: This project was funded by the Research, Education, and Development fund through Regions Hospital, St Paul, MN. Publisher Copyright: © Wolters Kluwer Health, Inc. All rights reserved.

PY - 2022/5/1

Y1 - 2022/5/1

N2 - OBJECTIVE: The aim of the study was to identify causes for readmission to acute care of patients admitted to inpatient rehabilitation facility after stroke.DESIGN: The institutional Uniform Data System for Medical Rehabilitation database was used to identify stroke patients who experienced readmission to acute care and an equal number of age-/sex-matched group of patients who successfully completed their inpatient rehabilitation facility stay during 2005-2018. Retrospective chart review was used to extract clinical data. The two study groups were compared using univariate and multivariate analyses.RESULTS: The rate of readmission to acute care was 4.7% (n = 89; age = 65 ± 14 yrs; 37% female; 65% White; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared with control group, the readmission to acute care group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure score on inpatient rehabilitation facility admission (55 [37-65] vs. 64 [51-78], P < 0.001), and a higher rate of sedative/hypnotic prescription (82% vs. 23%, P < 0.001).CONCLUSIONS: Readmission to acute care is not common in our cohort. Patients who experienced readmission to acute care had higher medical complexity and were prescribed more sedative/hypnotic medications than the control group. Practitioners should be vigilant in patients who meet these criteria.

AB - OBJECTIVE: The aim of the study was to identify causes for readmission to acute care of patients admitted to inpatient rehabilitation facility after stroke.DESIGN: The institutional Uniform Data System for Medical Rehabilitation database was used to identify stroke patients who experienced readmission to acute care and an equal number of age-/sex-matched group of patients who successfully completed their inpatient rehabilitation facility stay during 2005-2018. Retrospective chart review was used to extract clinical data. The two study groups were compared using univariate and multivariate analyses.RESULTS: The rate of readmission to acute care was 4.7% (n = 89; age = 65 ± 14 yrs; 37% female; 65% White; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared with control group, the readmission to acute care group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure score on inpatient rehabilitation facility admission (55 [37-65] vs. 64 [51-78], P < 0.001), and a higher rate of sedative/hypnotic prescription (82% vs. 23%, P < 0.001).CONCLUSIONS: Readmission to acute care is not common in our cohort. Patients who experienced readmission to acute care had higher medical complexity and were prescribed more sedative/hypnotic medications than the control group. Practitioners should be vigilant in patients who meet these criteria.

KW - Inpatients

KW - Patient Readmission

KW - Patient Transfer

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KW - Stroke Rehabilitation

KW - Length of Stay

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KW - Humans

KW - Middle Aged

KW - Male

KW - Hospitals

KW - Female

KW - Aged

KW - Hypnotics and Sedatives

KW - Retrospective Studies

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SN - 0894-9115

VL - 101

SP - 439

EP - 445

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

IS - 5

ER -

Readmission to an Acute Care Hospital During Inpatient Rehabilitation After Stroke

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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