Transferring inpatient rehabilitation facility cancer patients back to acute care (TRIPBAC).
PM R
; 6(9): 808-13, 2014 Sep.
Article
in En
| MEDLINE
| ID: mdl-24440553
ABSTRACT
OBJECTIVE:
To determine predictive factors for TRansferring Inpatient rehabilitation facility (IRF) cancer Patients Back to Acute Care (TRIPBAC).DESIGN:
A retrospective chart review of patients with cancer admitted to an IRF from 2009 to 2010 because of a functional impairment that developed as a direct consequence of their cancer or its treatment.SETTING:
IRF of a community-based, academic, tertiary care facility.METHODS:
The characterization of patients with cancer in the IRF was primarily based on analysis of the IRF Patient Assessment Instrument and other internal IRF data logs. MAIN OUTCOME MEASUREMENT Frequency and reasons for TRIPBAC.RESULTS:
The TRIPBAC rate in our IRF was 17.4%. The most common reasons for TRIPBAC were postneurosurgical complications (31%). Factors associated with TRIPBAC were a motor Functional Independence Measure score of 35 points or lower on admission (odds ratio 4.01, 95% confidence interval 1.79-8.98; P = .001) and the presence of a feeding tube or a modified diet (odds ratio 3.18, 95% confidence interval 1.44-7.04; P = .004).CONCLUSIONS:
Motor Functional Independence Measure score on admission is the best predictor for TRIPBAC in patients with cancer admitted to our IRF, followed by the presence of a feeding tube or a modified diet.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Readmission
/
Rehabilitation Centers
/
Patient Transfer
/
Neoplasms
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
PM R
Journal subject:
MEDICINA FISICA
/
REABILITACAO
/
TRAUMATOLOGIA
Year:
2014
Type:
Article