作者
Trudy Mallinson, Anne Deutsch, Jillian Bateman, Hsiang-Yi Tseng, Larry Manheim, Orit Almagor, Allen W Heinemann
发表日期
2014/2/1
期刊
Archives of physical medicine and rehabilitation
卷号
95
期号
2
页码范围
209-217
出版商
WB Saunders
简介
Objective
To examine differences in rehabilitation outcomes across 3 post-acute care (PAC) rehabilitation settings for patients after hip fracture repair.
Design
Prospective, observational cohort study.
Setting
Six skilled nursing facilities (SNFs), 4 inpatient rehabilitation facilities (IRFs), and 8 home health agencies (HHAs) in 10 states.
Participants
Patients (N=181) receiving PAC rehabilitation following hip fracture with internal fixation (n=116) or total hip replacement (n=64), or no surgical intervention (n=1).
Interventions
Not applicable.
Main Outcome Measure
Self-care and mobility status at PAC discharge measured by the Inpatient Rehabilitation Facility Patient Assessment Instrument.
Results
IRF and HHA patients had lower self-care function at discharge relative to SNF patients controlling for patient characteristics, severity, comorbidities, and services. Adding length of stay (LOS) resulted in nonsignificant differences …
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T Mallinson, A Deutsch, J Bateman, HY Tseng… - Archives of physical medicine and rehabilitation, 2014