Readmission to an acute care hospital during inpatient rehabilitation after stroke Journal Article uri icon

abstract


  • RTAC is not common in our cohort. Patients who experienced RTAC 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.


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


  • The rate of RTAC was 4.7% (n = 89; age 65 ± 14 years; 37% female; 65% white; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared to control group, the RTAC group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure (FIM) score on IRF 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).


  • To identify causes for readmission to acute care (RTAC) of patients admitted to inpatient rehabilitation facility (IRF) after stroke.

  • Conclusion
  • Design
  • Objective
  • Results

Link to Article

publication date

  • 2022