Evidence map›Paper›PMID 22389457›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2012

Hospital readmission in persons with stroke following postacute inpatient rehabilitation.

K J Ottenbacher, J E Graham, A J Ottenbacher, J Lee, S Al Snih, A Karmarkar, T Reistetter, G V Ostir

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03927469 (Analysis Of The Patients Who Need Rehospitalization Due To Stroke Rehabilitation Only), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03927469 completednot on this mapstarted 2018, after this paper: background citation

Analysis Of The Patients Who Need Rehospitalization Due To Stroke Rehabilitation Only

TypeobservationalSponsorIstanbul Physical Medicine Rehabilitation Training and Research HospitalRan2018 to 2018Enrolled328ConditionsStroke RehabilitationArmsage, sex, hemiplegic side, stroke duration, First hospitalisation duration (day)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

K J OttenbacherDivision of Rehabilitation Sciences, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1137, USA. kottenba@utmb.edu
J E Graham
A J Ottenbacher
J Lee
S Al Snih
A Karmarkar
T Reistetter
G V Ostir
The University of Texas Medical Branch at Galveston · USThe University of Texas at Austin · US

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Rehabilitation Research Career Development ProgramK12HD055929 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BROWN, DAVID A · 2007 to 2021
$11.7M
UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
Stroke Recovery in Underserved PopulationsR01AG024806 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI OSTIR, GLENN V · 2004 to 2009
$1.3M
NIA NIH HHS P30 AG024832NIA NIH HHS R01 AG024806NICHD NIH HHS K12 HD052023NICHD NIH HHS K12 HD055929NICHD NIH HHS R24 HD065702PHS HHS H133G080163
6 · The paper itself

Abstract

backgroundReadmission is an important quality indicator following acute care hospitalization. We examined factors associated with hospital readmission in persons with stroke following postacute inpatient rehabilitation.

methodsProspective cohort study including 674 persons with stroke who received rehabilitation at 11 facilities located in eight states and the District of Columbia. Measures included hospital readmission within 3 months of discharge, sociodemographic characteristics, length of stay, primary payment source, comorbidities, stroke type, standardized assessments of motor and cognitive function, depressive symptoms, and social support.

resultsMean age was 71.5 years (SD = 10.5). Twenty-five percent of patients reported high depressive symptoms. Overall, 18% (n = 122) of the sample was rehospitalized. Univariate analyses showed that people who were rehospitalized were more likely (p < .05) to be non-Hispanic white, married, demonstrate less functional independence at discharge, experience longer lengths of stay in rehabilitation, and report more depressive symptoms and lower social support. In the fully adjusted multivariable hierarchical generalized linear model, motor functional status (OR = 0.98, 95% CI 0.96-0.99), depressive symptoms (OR = 1.80, 95% CI 1.06-3.05), and social support (OR = 2.28, 95% CI 1.29-4.03) remained statistically significant. In addition, a minority-by-depressive symptoms interaction term also reached statistical significance.

conclusionFunctional status, depressive symptoms, and social support were important predictors of hospital readmission. These variables are not included in most administrative data sets. Future research to develop useful risk-adjustment models for rehospitalization following postacute inpatient rehabilitation services should include large diverse samples and explore practical sources for additional meaningful information.

Indexed as

Stroke RehabilitationAgedAged, 80 and overComorbidityDepressionFemaleHumansLength of StayMaleMiddle AgedMultivariate AnalysisPatient ReadmissionQuality Indicators, Health CareSocial SupportStroke

Identifiers

PMID22389457
PMCPMC3403861
OpenAlexW2117583877

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.