logo BDSP

Base documentaire


  1. Risk factors for death and emergency transfer in acute and subacute inpatient rehabilitation.

    Article - En anglais

    Objectives 

    To compare the risk of death or emergency transfer (ET) to an acute care hospital for acute and subacute rehabilitation inpatients, to identify risk factors, and to determine whether the risk factors vary by level of care.

    Design 

    Proportional hazards regression analysis of retrospective cohort data.

    Explanatory variables included level of care, age, sex, medical stability at admission, and diagnosis.

    Setting 

    An acute inpatient rehabilitation hospital and a skilled nursing facility-based subacute rehabilitation program.

    Patients 

    Patients were selected from a database of all acute and subacute inpatients discharged between January 1992 and August 1994 (N=4,755).

    Readmissions and pediatric patients were excluded (n=896).

    Patients who had complete data (n=3,185) were included in the survival analysis ; a separate univariable analysis was performed for patients who lacked complete data (n=674).

    Outcome Measure 

    Rate of death or emergency transfer during rehabilitation.

    Results 

    The overall risk was greater for subacute patients than for acute inpatients, 20.6% vs 11.6%, odds ratio=2.0, Cl=1.6 to 2.5. The survival analysis indicated that age, level of care, sex, and stability were associated with the risk of death or emergency transfer (2.1 ¾ z ¾ 4.7 ; p<. 05 for each).

    However, the difference in risk between subacute and acute care was greatest among younger patients. (...)

    Mots-clés Pascal : Réadaptation physique, Aigu, Subaigu, Milieu hospitalier, Adulte, Homme, Complication, Facteur risque, Urgence, Mort, Epidémiologie

    Mots-clés Pascal anglais : Physical rehabilitation, Acute, Subacute, Hospital environment, Adult, Human, Complication, Risk factor, Emergency, Death, Epidemiology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0483779

    Code Inist : 002B26O. Création : 10/04/1997.