Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 6, 2013
   Pages 821 — 834

Abstract — Interaction effects between rehabilitation and discharge destination on inpatients’ functional abilities

Fase Badriah, MPH;1 Takeru Abe, PhD;1 Hidekazu Miyamoto, PhD;1 Megumi Moriya, MS;2 Akira Babazono, MD, PhD;3 Akihito Hagihara, DMSc, MPH1,3*

1Kyushu University Graduate School of Medicine, Department of Health Services, Management and Policy, Fukuoka, Japan; 2Kyushu University Graduate School of Human Environment Studies, Department of Behavioral and Health ­Sciences, Exercise and Sports Science Course, Fukuoka, Japan; 3Kyushu University Graduate School of Medicine, Department of Health Care Administration and Management, Fukuoka, Japan

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.

Key words: diagnosis, discharge destination, disuse syndrome, functional abilities, Functional Independence Measure, in-­hospital, orthopedic, rehabilitation, stroke, therapy.


View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 6
This article and any supplemental materials should be cited as follows:
Badriah F, Abe T, Miyamoto H, Moriya M, Babazono A, Hagihara A. Interaction effects between rehabilitation and discharge destination on inpatients’ functional abilities. J Rehabil Res Dev. 2013;50(6):821–34.
http://dx.doi.org/10.1682/JRRD.2012.08.0153
ResearcherID/ORCID: Akihito Hagihara, DMSc, MPH: G-4718-2012
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