Abstract
Objective: We evaluated the factors associated with discharge disposition to either inpatient rehabilitation or home after acute stroke hospitalization. Design: We analyzed data from three concurrent years of State Hospital Discharge Data (years 2002-2004) of patients admitted with a primary International Classification of Diseases-9 code diagnosis of 430-434.9 and 436 (n = 7810). Logistic regression models tested whether discharge to inpatient rehabilitation vs. home was associated with socio-demographic factors. We controlled for covariates, including medical factors, such as number of intensive care unit days, Charlson Comorbidity Index, therapy charges, and available resources in their county. Results: We found that older age, a greater number of intensive care unit days, higher total therapy charges, and lower poverty in their county of residence were associated with discharge to acute inpatient rehabilitation. Factors associated with discharge to home included younger age, fewer intensive care unit days, lower therapy charges, and higher poverty in their county of residence. Conclusions: Enabling factors, such as county poverty status and exposure to therapy may be important factors related to postacute stroke disposition.
| Original language | English |
|---|---|
| Pages (from-to) | 100-107 |
| Number of pages | 8 |
| Journal | American Journal of Physical Medicine and Rehabilitation |
| Volume | 88 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2009 Feb 1 |
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All Science Journal Classification (ASJC) codes
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
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Disparities in postacute stroke rehabilitation disposition to acute inpatient rehabilitation vs. home findings from the North Carolina Hospital Discharge Database. / Gregory, Patricia C.; Han, Euna.
In: American Journal of Physical Medicine and Rehabilitation, Vol. 88, No. 2, 01.02.2009, p. 100-107.Research output: Contribution to journal › Article
TY - JOUR
T1 - Disparities in postacute stroke rehabilitation disposition to acute inpatient rehabilitation vs. home findings from the North Carolina Hospital Discharge Database
AU - Gregory, Patricia C.
AU - Han, Euna
PY - 2009/2/1
Y1 - 2009/2/1
N2 - Objective: We evaluated the factors associated with discharge disposition to either inpatient rehabilitation or home after acute stroke hospitalization. Design: We analyzed data from three concurrent years of State Hospital Discharge Data (years 2002-2004) of patients admitted with a primary International Classification of Diseases-9 code diagnosis of 430-434.9 and 436 (n = 7810). Logistic regression models tested whether discharge to inpatient rehabilitation vs. home was associated with socio-demographic factors. We controlled for covariates, including medical factors, such as number of intensive care unit days, Charlson Comorbidity Index, therapy charges, and available resources in their county. Results: We found that older age, a greater number of intensive care unit days, higher total therapy charges, and lower poverty in their county of residence were associated with discharge to acute inpatient rehabilitation. Factors associated with discharge to home included younger age, fewer intensive care unit days, lower therapy charges, and higher poverty in their county of residence. Conclusions: Enabling factors, such as county poverty status and exposure to therapy may be important factors related to postacute stroke disposition.
AB - Objective: We evaluated the factors associated with discharge disposition to either inpatient rehabilitation or home after acute stroke hospitalization. Design: We analyzed data from three concurrent years of State Hospital Discharge Data (years 2002-2004) of patients admitted with a primary International Classification of Diseases-9 code diagnosis of 430-434.9 and 436 (n = 7810). Logistic regression models tested whether discharge to inpatient rehabilitation vs. home was associated with socio-demographic factors. We controlled for covariates, including medical factors, such as number of intensive care unit days, Charlson Comorbidity Index, therapy charges, and available resources in their county. Results: We found that older age, a greater number of intensive care unit days, higher total therapy charges, and lower poverty in their county of residence were associated with discharge to acute inpatient rehabilitation. Factors associated with discharge to home included younger age, fewer intensive care unit days, lower therapy charges, and higher poverty in their county of residence. Conclusions: Enabling factors, such as county poverty status and exposure to therapy may be important factors related to postacute stroke disposition.
UR - http://www.scopus.com/inward/record.url?scp=59649084419&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=59649084419&partnerID=8YFLogxK
U2 - 10.1097/PHM.0b013e3181951762
DO - 10.1097/PHM.0b013e3181951762
M3 - Article
C2 - 19169175
AN - SCOPUS:59649084419
VL - 88
SP - 100
EP - 107
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
SN - 0894-9115
IS - 2
ER -