[Factors associated with a significant functional gain and new institutionalisation in rehabilitated patients admitted to a long term care unit].
OBJECTIVE
To determine which factors are associated with a functional gain above 19 on Barthel's index (CSFG) and also factors associated with a new post-discharge institutionalisation (NPDI) in patients who a underwent rehabilitation intervention whilst admitted to a medium long term care unit.


METHODS
Prospective study of patients admitted between 2000 and 2005 who underwent a rehabilitation intervention. Demographic, mind-body and laboratory data were collected.


RESULTS
153 patients were selected for the first aim and 148 for the second. 53.3% of the patients achieved a CSFG. The incidence of NPDI was of 23.7%. The following factors were associated with a CSFG in the multivariate analysis: age (OR: 0.95), female gender (OR: 0.35), rehabilitation objective at admission (OR: 7.43), infectious disease as primary diagnosis (OR: 10.35), mild dependence at admission (OR: 0.09), absence of malnutrition (OR: 3.12), high comorbidity (OR: 0.31), need of wound care (OR: 0.36) and ansiolitic intake at admission (OR: 9.11). Likewise, the following factors were associated with the occurrence of a NPDI: age (OR: 1.12), long-term care objective at admission (OR: 7.84), chronic lung disease (OR: 0.29), number of drug prescriptions at admission (OR: 0.82), neuroleptic intake at admission (OR: 7.42), living with relatives (OR: 0.29) and nosocomial infection during the hospital stay (OR: 2.99).


CONCLUSIONS
Several factors have been associated to CSFG and NPDI and they would be useful to optimise rehabilitation resources and to plan post-discharge institutional transfer.
Castellano Vela
E
E
Area Médica Integral, Hospital Pare Jofré, Valencia, España. castellano_enr@gva.es
Gómez Pajares
F
F
Rochina Puchades
A
A
Gil Egea
M
M
D000368:Aged; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data; D008134:Long-Term Care; D008297:Male; D011446:Prospective Studies; D020127:Recovery of Function; D012046:Rehabilitation