Evidence map›Paper›PMID 29134630›Full record

ArticleHealth services research2018

Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure.

Michael P Cary, Janet Prvu Bettger, Jessica M Jarvis, Kenneth J Ottenbacher, James E Graham

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

5 authors.

Michael P CaryDuke University School of Nursing, Durham, NC.ORCID 0000-0002-7966-7515
Janet Prvu BettgerDepartment of Orthopaedic Surgery, School of Medicine, Duke University, Durham, NC.
Jessica M JarvisUniversity of Illinois, College of Applied Health Sciences, Chicago, IL.
Kenneth J OttenbacherDivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX.
James E GrahamDivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX.

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2015 to 2019
$5.2M
Duke CTSA (Composite)KL2TR001115 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$5.1M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
ACL HHS 90IF0071AHRQ HHS R24 HS022134National Center for Advancing Translational Sciences of the National Institutes of Health 5KL2TR001115NCATS NIH HHS KL2 TR001115NCATS NIH HHS UL1 TR001117NICHD NIH HHS P2C HD065702NICHD NIH HHS R24 HD065702NIH HHS P2C-HD065702NIH HHS R01-HD069443NIH HHS R24HS022134
6 · The paper itself

Abstract

objectiveTo determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files. STUDY

designWe retrospectively examined 167,664 Medicare beneficiaries discharged from inpatient rehabilitation facilities (IRFs) in 2013 to determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. PRINCIPAL

findingsIn the multivariable model, sociodemographic (younger age, no disability, social support), clinical (higher motor and cognitive functional status at admission), and health services use (fewer acute care days and longer IRF days) variables were associated with successful community discharge.

conclusionsRemaining in the community is an important patient-centered outcome that could complement other postacute rehabilitation quality measures.

Indexed as

Independent LivingQuality Indicators, Health CareRehabilitation CentersAgedAged, 80 and overFee-for-Service PlansFemaleHumansInsurance Claim ReviewMaleMedicarePatient-Centered CarePatient DischargeRetrospective StudiesUnited Stateshealth policyMedicare, rehabilitation services, health services researchpatient outcomes

Identifiers

PMID29134630
PMCPMC6052014

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.