Interaction effects between rehabilitation and discharge destination on inpatients

1
Interaction effects between rehabilitation and
discharge destination on inpatients functional
abilities

• Fase Badriah, MPH Takeru Abe, PhD Hidekazu
  Miyamoto, PhD Megumi Moriya, MS Akira
  Babazono, MD, PhD Akihito Hagihara, DMSc, MPH

2

• Aim
• Examine how in-hospital rehabilitation and
  discharge destination interact to influence
  patients subsequent functional abilities.
• Relevance
• No studies have evaluated how functional
  abilities following discharge are influenced by
  these two factors.

3
Method

• Participants
• 835 stroke, orthopedic, and disuse syndrome
  inpatients who underwent rehabilitation Feb
  2008-Dec 2010 at Japanese hospital.
• Hierarchical linear regression analysis in each
  condition subgroup estimated interaction effects
  between rehabilitation therapy and discharge
  destination on subsequent functional ability.
• Dependent variable
• Functional Independence Measure (FIM) score at 3
  mo after hospital discharge.

4
Results

• Stroke and orthopedic patients
• Significant interaction between rehabilitation
  potential (measure based on FIM effectiveness
  measure) and discharge destination (home or
  other).

5
Conclusion

• Rehabilitation during hospital stay and discharge
  destination interacted to influence patients
  functional ability after hospital discharge in
  stroke patients and orthopedic patients.
• Findings may be useful in deciding discharge
  destination for patients.
• Transition-support program for rehabilitation
  patients discharged to their homes should be
  considered.