Evidence map›Paper›PMID 32251107›Full record

ArticleAmerican journal of physical medicine & rehabilitation2020

Is Referral to Home Health Rehabilitation After Inpatient Rehabilitation Facility Associated With 90-Day Hospital Readmission for Adult Patients With Stroke?

Ickpyo Hong, Sara Knox, Loree Pryor, Tracy M Mroz, James E Graham, Meredith F Shields, Timothy A Reistetter

Open access · greenAbstract read
In one paragraph

Article in American journal of physical medicine & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 25% 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
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

7 authors at 1 institution in 1 country.

Ickpyo HongFrom the Department of Occupational Therapy, College of Health Sciences, Yonsei University, Wonju-si, Gangwon-do, Republic of Korea (IH); Department of Physical Therapy, MGH Institute of Health Professions, Boston, Massachusetts (SK); Department of Occupational Therapy, University of Texas Medical Branch, Galveston, Texas (LP, MFS); Department of Rehabilitation Medicine, University of Washington, Seattle, Washington (TMM); Department of Occupational Therapy, Colorado State University, Fort Collins, Colorado (JEG); and School of Health Professions, University of Texas Health Science Center at San Antonio, San Antonio, Texas (TAR).
Sara Knox
Loree Pryor
Tracy M Mroz
James E Graham
Meredith F Shields
Timothy A Reistetter
The University of Texas Health Science Center at San Antonio · 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
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2015 to 2019
$5.2M
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 HD055929NICHD NIH HHS P2C HD065702
6 · The paper itself

Abstract

objectiveWe examined the association between home health rehabilitation referral and 90-day risk-adjusted hospital readmission after discharge from inpatient rehabilitation facilities among adult patients recovering from stroke (N = 1219).

designA secondary data analysis of the 2005-2006 Stroke Recovery in Underserved Population database. A logistic regression model, multilevel model, and the propensity score inverse probability weighting model were used to evaluate the risk of 90-day rehospitalization between patients with stroke who received a referral for home health rehabilitation and those who did not receive a home health rehabilitation referral at inpatient rehabilitation facility discharge.

resultsThe regression, multilevel, and propensity score inverse probability weighting models indicated that inpatient rehabilitation facility patients with stroke who received home health rehabilitation referral had substantially lower odds of 90-day rehospitalization after inpatient rehabilitation facility discharge compared with those who were not referred to home health (odds ratio = 0.325, 95% confidence interval = 0.138-0.764; odds ratio = 0.340, 95% confidence interval = 0.139-0.832; odds ratio = 0.407, 95% confidence interval = 0.183-0.906, respectively).

conclusionsOur findings suggest the importance of continuation of care (home health) after hospitalization and intense inpatient rehabilitation for stroke. Additional research is needed to establish appropriate use criteria and explore potential underuse of home health services as well as the benefits for follow-up outpatient services for those who do not qualify for home health at inpatient rehabilitation facility discharge.

Indexed as

AgedAged, 80 and overDatabases, FactualFemaleHome Care Services, Hospital-BasedHumansLogistic ModelsMaleMedicareMiddle AgedMultilevel AnalysisOdds RatioPatient ReadmissionPropensity ScoreReferral and ConsultationRehabilitation Centers

Identifiers

PMID32251107
PMCPMC7483954
OpenAlexW3014323768

What OpenQuestion holds

Textmetadata
LicenceTDM
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.