title: Interaction effects of in-hospital rehabilitation and the use of community-based services after hospital discharge on patients' subsequent functional abilities.
abstract: BACKGROUND
  Patients' functional abilities after hospital discharge are influenced by rehabilitation during their hospital stay and their use of community-based services after hospital discharge. This study examined the interaction between rehabilitation during hospital stay, the use of community-based rehabilitation and non-rehabilitation services and their influence on patients' subsequent functional abilities.
  
  
  METHODS
  This cohort study included 509 inpatients who underwent rehabilitation between 2008 and 2011 in Japan. Participants were categorized into 2 groups based on their condition: stroke and other. Interaction effects between the change in Functional Independence Measure (FIM) and the use of community-based rehabilitation and non-rehabilitation services on patients' subsequent functional abilities were estimated by sequential linear regression analyses in which the dependent variable was the FIM score 3 months after hospital discharge.
  
  
  RESULTS
  A significant interaction between the change in FIM and the use of community-based rehabilitation or non-rehabilitation services after hospital discharge was observed among stroke and other patients.
  
  
  CONCLUSIONS
  Rehabilitation during hospital stay and the use of community-based rehabilitation or non-rehabilitation services interacted to influence the subsequent functional abilities of patients discharged home. These findings may be useful for maintaining patients' functional abilities after hospital discharge.
authors: Department of Health Services, Management and Policy, Kyushu University Graduate School of Medicine , Maidashi, Higashi-ku, Fukuoka, Japan.
authors: Hidetoshi
authors: H
authors: Shibuta
authors: Takeru
authors: T
authors: Abe
authors: Hidekazu
authors: H
authors: Miyamoto
authors: Akihito
authors: A
authors: Hagihara
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003153:Community Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007564:Japan; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D020127:Recovery of Function; D012044:Regression Analysis; D012047:Rehabilitation Centers / Q000458:organization & administration*; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation