Transferring inpatient rehabilitation facility cancer patients back to acute care (TRIPBAC).
OBJECTIVE
To determine predictive factors for TRansferring Inpatient rehabilitation facility (IRF) cancer Patients Back to Acute Care (TRIPBAC).


METHODS
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.


METHODS
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.


METHODS
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.
Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Suite AC 1109, Los Angeles, CA 90048(∗). Electronic address: arash.asher@cshs.org.
Arash
A
Asher
Department of Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA(†).
Pamela S
PS
Roberts
Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA(‡).
Catherine
C
Bresee
Department of Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA(§).
Garret
G
Zabel
Department of Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA(¶).
Richard V
RV
Riggs
Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA(‖).
Andre
A
Rogatko
D000368:Aged; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D010359:Patient Readmission / Q000706:statistics & numerical data*; D010360:Patient Transfer; D011183:Postoperative Complications / Q000453:epidemiology; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012189:Retrospective Studies