ArticleAmerican journal of physical medicine & rehabilitation2016
Comparing Comorbidity Indices to Predict Post-Acute Rehabilitation Outcomes in Older Adults.
Article in American journal of physical medicine & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Factors associated with improved walking in older people during hospital rehabilitation: secondary analysis of a randomized controlled trial.BMC geriatrics · 2021Trial
- Association of Caregiver Availability and Training With Patient Community Discharge After Stroke.Archives of rehabilitation research and clinical translation · 2023Article
- Medicare Claim-Based National Institutes of Health Stroke Scale to Predict 30-Day Mortality and Hospital Readmission.Journal of general internal medicine · 2022Article
- Development and Validation of a Functionally Relevant Comorbid Health Index in Adults Admitted to Inpatient Rehabilitation for Traumatic Brain Injury.Journal of neurotrauma · 2022Article
- Article
- Using Inferred Mobility Status to Estimate the Time to Major Depressive Disorder Diagnosis Post-Spinal Cord Injury.Archives of physical medicine and rehabilitation · 2020Article
- Validation of a Claims-Based Frailty Index Against Physical Performance and Adverse Health Outcomes in the Health and Retirement Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- The Effect of Frailty on Discharge Location for Medicare Beneficiaries After Acute Stroke.Archives of physical medicine and rehabilitation · 2019Article
- Current Risk Adjustment and Comorbidity Index Underperformance in Predicting Post-Acute Utilization and Hospital Readmissions After Joint Replacements: Implications for Comprehensive Care for Joint Replacement Model.Arthritis care & research · 2017Article
- Comorbidity Indices Versus Function as Potential Predictors of 30-Day Readmission in Older Patients Following Postacute Rehabilitation.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveCompare 5 comorbidity indices to predict community discharge and functional status following post-acute rehabilitation.
designThis was a retrospective study of Medicare beneficiaries with stroke, lower-extremity fracture, and joint replacement discharged from inpatient rehabilitation in 2011 (N = 105,275). Community discharge and self-care, mobility, and cognitive function were compared using the Charlson, Elixhauser, Tier, Functional Comorbidity, and Hierarchical Condition Category comorbidity indices.
resultsOf the patients, 64.4% were female, and 84.6% were non-Hispanic white. Mean age was 79.3 (SD, 7.5) years. Base regression models including sociodemographic and clinical variables explained 56.6%, 42.2%, and 23.0% of the variance (R) for discharge self-care; 47.4%, 30.9%, and 18.6% for mobility; and 62.0%, 55.3%, and 37.3% for cognition across the 3 impairment groups. R values for self-care, mobility, and cognition increased by 0.2% to 3.3% when the comorbidity indices were added to the models. The base model C statistics for community discharge were 0.58 (stroke), 0.61 (fracture), and 0.62 (joint replacement). The C statistics increased more than 25% with the addition of discharge functional status to the base model. Adding the comorbidity indices individually to the base model resulted in C-statistic increases of 1% to 2%.
conclusionComorbidity indices were poor predictors of community discharge and functional status in Medicare beneficiaries receiving inpatient rehabilitation.
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