ArticleJournal of the American Medical Directors Association2018
Patient-Reported Outcomes in Functioning Following Nursing Home or Inpatient Rehabilitation.
Article in Journal of the American Medical Directors Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04300413 (Patient-Centered, Interprofessional Approach to Improve Functional Outcomes in a Skilled Nursing Facility), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Patient-Centered, Interprofessional Approach to Improve Functional Outcomes in a Skilled Nursing Facility
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalisation: a systematic review and meta-analysis.Age and ageing · 2023Pooled it
- Life-Space of Older Adults after Discharge from Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2024Trial
- Effect of Enhanced Medical Rehabilitation on Functional Recovery in Older Adults Receiving Skilled Nursing Care After Acute Rehabilitation: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Feasibility and acceptability of remote ischemic conditioning combined with low-intensity resistance training in older adults with mobility impairments: A randomized controlled pilot trial protocol.Experimental gerontology · 2026Article
- Long-Term Change and Predictors of Change in Physical and Mental Function after Rehabilitation: A Multi-Centre Study.Journal of rehabilitation medicine · 2023Article
- Analysis of Functional Recovery in Older Adults Discharged to Skilled Nursing Facilities and Then Home.JAMA network open · 2022Article
- Referral to geriatric rehabilitation: a scoping review of triage factors in acutely hospitalised older patients.Age and ageing · 2022Article
- What Clinicians Need to Know About Measurement.Journal of the American Medical Directors Association · 2021Article
- Is well-being prior to receiving rehabilitation services associated with postrehabilitation mental health and functioning?Aging & mental health · 2021Article
- Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study.Physical therapy · 2020Article
- The association of patient-reported improvement and rehabilitation characteristics with mortality.Geriatric nursing (New York, N.Y.)Article
- Mixed-Methods Approach to Understanding Determinants of Practice Change in Skilled Nursing Facility Rehabilitation: Adapting to and Sustaining Value With Postacute Reform.Journal of geriatric physical therapy (2001)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesOur study examines factors associated with patient-reported outcomes in functioning among Medicare beneficiaries who reported receiving rehabilitation services in a nursing home or inpatient (ie, hospital or rehabilitation facility) setting in the prior year.
designData are from the 2015 and 2016 rounds of the National Health and Aging Trends Study (NHATS), a longitudinal study of a nationally representative sample of Medicare beneficiaries aged 65 years and older. SETTING AND
participantsA total of 479 participants in the 2016 sample who reported receiving rehabilitation services in a nursing home or inpatient setting in the past year. MEASURES: Bivariate and logistic regression analyses examined the association of demographic, socioeconomic status, and health variables (from the 2015 interview) and rehabilitation characteristics (from the 2016 interview) with patient-reported improvement in "functioning and ability to do activities" while receiving rehabilitation services in the past year.
resultsAmong Medicare beneficiaries who received rehabilitation services in nursing home or inpatient settings, 33.4% (weighted percent) reported no improvement in functioning while they were receiving rehabilitation. In a regression analysis that accounted for demographics, those with a high school education or less (compared with those with a college degree), instrumental activities of daily living impairments, certain primary conditions for rehabilitation, less than 1-month total duration of rehabilitation services, and no outpatient rehabilitation services had greater odds of reporting no improvement. CONCLUSIONS/IMPLICATIONS: Our weighted sample represents approximately 2.3 million Medicare beneficiaries who received rehabilitation services in nursing home or inpatient settings. In this sample, 1 in 3 reported no improvement in functioning, with differences in patient-reported outcomes across socioeconomic status, health status, and rehabilitation characteristics domains. Consideration of characteristics across these domains may be clinically pertinent, but investigation as to why these differences are present and whether services can be optimized to further improve patient-reported outcomes is warranted.
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