Length of stay and hospital readmission for persons with disabilities

被引:34
作者
Ottenbacher, KJ
Smith, PM
Illig, SB
Fiedler, RC
Granger, CV
机构
[1] Univ Texas, Med Branch, Galveston, TX 77555 USA
[2] SUNY Buffalo, Ctr Funct Assessment Res, Dept Rehabil Med, Buffalo, NY 14260 USA
关键词
D O I
10.2105/AJPH.90.12.1920
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. Length of stay (T-OS) and hospital readmission for persons receiving medical rehabilitation were examined. Methods. A total of 96 473 patient records (1994-1998) were analyzed. Mean age of patients was 68.97 years; 61% were female and 83% were non-Hispanic White. Results. A decrease in LOS of 6.07 days (SD=3.23) and increase in hospital readmission were found across all impairment groups (P<.001). Readmission increases ranged from 6.7% for amputations to 1.4% for orthopedic conditions. LOS was longer (2.1 days) for readmitted patients (P<.01), Age was not a significant predictor of rehospitalization. Conclusions. Understanding variables associated with rehospitalization is important as prospective payment systems are introduced for postacute care.
引用
收藏
页码:1920 / 1923
页数:4
相关论文
共 27 条
[1]   Health spending, access, and outcomes: Trends in industrialized countries [J].
Anderson, GF ;
Poullier, JP .
HEALTH AFFAIRS, 1999, 18 (03) :178-192
[2]   A conceptual framework for the study of early readmission as an indicator of quality of care [J].
Ashton, CM ;
Wray, NP .
SOCIAL SCIENCE & MEDICINE, 1996, 43 (11) :1533-1541
[3]   The association between the quality of inpatient care and early readmission - A meta-analysis of the evidence [J].
Ashton, CM ;
DelJunco, DJ ;
Souchek, J ;
Wray, NP ;
Mansyur, CL .
MEDICAL CARE, 1997, 35 (10) :1044-1059
[4]  
CARTER GM, 1997, CLASSIFICATION SYSTE
[5]  
CARTER GM, 1997, PROSPECTIVE PAYMENTS
[6]   The effect of Medicare's payment system for rehabilitation hospitals on length of stay, charges, and total payments [J].
Chan, L ;
Koepsell, TD ;
Deyo, RA ;
Esselman, PC ;
Haselkorn, JK ;
Lowery, JK ;
Stolov, WC .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (14) :978-985
[7]   HOSPITAL READMISSION RATES FOR COHORTS OF MEDICARE BENEFICIARIES IN BOSTON AND NEW-HAVEN [J].
FISHER, ES ;
WENNBERG, JE ;
STUKEL, TA ;
SHARP, SM .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (15) :989-995
[8]   HOSPITAL READMISSIONS AMONG THE ELDERLY [J].
GOODING, J ;
JETTE, AM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1985, 33 (09) :595-601
[9]  
GRAHAM H, 1983, LANCET, V1, P404
[10]  
HAMILTON BB, 1994, SCAND J REHABIL MED, V26, P115