title: Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and Declining Physical Function.
abstract: To examine whether hospital-based physical therapy is associated with functional changes and early hospital readmission among hospitalized older adults with community-acquired pneumonia and declining physical function. Study design was a retrospective observation study. Participants were community-dwelling older adults admitted to medicine floor for community-acquired pneumonia (n = 1,058). Their physical function using Katz activities of daily living (ADL) Index declined between hospital admission and 48 hours since hospital admission (Katz ADL Index 6→5). The intervention group was those receiving physical therapy for ≥ 0.5 hour/day. Outcomes were Katz ADL Index at hospital discharge and all-cause 30-day hospital readmission rate. The intervention and control groups did not differ in the Katz ADL Index at hospital discharge (p = 0.11). All-cause 30-day hospital readmission rate was lower in the intervention than in control groups (OR = 0.65, p = 0.02). Hospital-based physical therapy has the benefits toward reducing 30-day hospital readmission rate of acutely ill older adults with community-acquired pneumonia and declining physical function.
authors.affiliation: 1Department of Health Policy and Management, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
authors.forename: Sun Jung
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: 2Department of Communication and Mass Media, Hanyang University College of Social Sciences, Seoul, Korea.
authors.forename: Joo Hun
authors.initials: JH
authors.lastname: Lee
authors.affiliation: 3Department of Medicine, Kosin University College of Medicine, Busan, Korea.
authors.forename: Boram
authors.initials: B
authors.lastname: Han
authors.affiliation: 4Department of Medicine, University of Wisconsin School of Medicine and Public Health.
authors.forename: Julia
authors.initials: J
authors.lastname: Lam
authors.affiliation: 5Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, Illinois, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bukowy
authors.affiliation: 4Department of Medicine, University of Wisconsin School of Medicine and Public Health.
authors.forename: Avinash
authors.initials: A
authors.lastname: Rao
authors.affiliation: 6Department of Internal Medicine, Aurora Health Care, Milwaukee, Wisconsin, USA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Vulcano
authors.affiliation: 6Department of Internal Medicine, Aurora Health Care, Milwaukee, Wisconsin, USA.
authors.forename: Anelia
authors.initials: A
authors.lastname: Andreeva
authors.affiliation: 6Department of Internal Medicine, Aurora Health Care, Milwaukee, Wisconsin, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Bertelson
authors.affiliation: 7Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
authors.forename: Hyun Phil
authors.initials: HP
authors.lastname: Shin
authors.affiliation: 8Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
authors.forename: Ji Won
authors.initials: JW
authors.lastname: Yoo
keywords: hospitalization; patient outcome assessment; physical therapy; pneumonia