title: Interaction effects between rehabilitation and discharge destination on inpatients' functional abilities.
abstract: A patient's functional ability after hospital discharge may be influenced by in-hospital rehabilitation and discharge destination. However, we know very little about how in-hospital rehabilitation intervention interacts with the type of discharge destination or how this interaction influences patients' functional abilities. Thus, how an interaction between in-hospital rehabilitation and discharge destination influences a patient's subsequent functional ability was examined. This was a cross-sectional study whose participants were inpatients who underwent rehabilitation between February 2008 and December 2010 at a hospital in Japan (n = 835). Participants were categorized into three condition groups (i.e., stroke, orthopedic, disuse syndrome). Then, interaction effects between the rehabilitation therapy and the type of discharge destination on a patient's subsequent functional ability were estimated by hierarchical linear regression analysis in each of the three subgroups. In models where the dependent variable was Functional Independence Measure (FIM) score at 3 mo after hospital discharge, a significant interaction between rehabilitation potential (a measure based on the FIM effectiveness measure) and discharge destination (home or other) was observed in the stroke and orthopedic patients (both p < 0.001). These findings may be useful in deciding on discharge destinations for patients.
authors.affiliation: Kyushu University Graduate School of Medicine, Department of Health Services, Management and Policy, Fukuoka, Japan.
authors.forename: Fase
authors.initials: F
authors.lastname: Badriah
authors.forename: Takeru
authors.initials: T
authors.lastname: Abe
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Miyamoto
authors.forename: Megumi
authors.initials: M
authors.lastname: Moriya
authors.forename: Akira
authors.initials: A
authors.lastname: Babazono
authors.forename: Akihito
authors.initials: A
authors.lastname: Hagihara
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D050723:Fractures, Bone / Q000503:physiopathology / Q000534:rehabilitation*; D006763:Hospitals, Chronic Disease; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D018482:Muscle, Skeletal / Q000293:injuries / Q000503:physiopathology; D020966:Muscular Disorders, Atrophic / Q000503:physiopathology / Q000534:rehabilitation*; D009468:Neuromuscular Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D009735:Nursing Homes; D010351:Patient Discharge; D010360:Patient Transfer; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D055815:Young Adult