ArticleJournal of the American Geriatrics Society2020
Implementation of Post-Acute Rehabilitation at Home: A Skilled Nursing Facility-Substitutive Model.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05964205 (Analysis of a Stepped-Wedge Implementation of the PT-PENCIL Tool), which is not on this map. Cited by 10 papers.
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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.
Analysis of a Stepped-Wedge Implementation of the PT-PENCIL Tool
Who cites it
10 citing papers in PubMed, 30 citations in OpenAlex.
- Use of the iPRISM webtool in a learning community to assess implementation context and fit of a novel clinical decision support tool for physical therapy triage in acute care hospitals.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- The Economic Impact of Community-Based Allied Health on the Acute Sector: A Systematic Review of Economic Evaluations.Journal of multidisciplinary healthcare · 2025Review
- Importance of early consideration of scaling and sustainability for aging-related care models: Case study of Hospital at Home.Journal of the American Geriatrics Society · 2024Article
- Construction and application of procedural pathways combined with information management in nursing staff skills training system.BMC medical education · 2024Article
- Five Functional Classes Identified Among Patients Hospitalized for Pneumonia Characterized by Activity Limitations With Mobility and Self-Care Tasks.Archives of rehabilitation research and clinical translation · 2024Article
- Effectiveness and Stakeholder Views of Community-Based Allied Health on Acute Care Utilization: A Mixed Methods Review.Journal of multidisciplinary healthcare · 2024Review
- Tele-medicine controlled hospital at home is associated with better outcomes than hospital stay.PloS one · 2024Article
- Medical Training in Home Care Medicine: The Time is Now.Journal of general internal medicine · 2022Article
- Geriatric home-based rehabilitation in Australia: Preliminary data from an inpatient bed-substitution model.Journal of the American Geriatrics Society · 2022Article
- Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.Health services research · 2022Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesFor patients who require frequent and intensive therapy services after hospitalization, rehabilitation is predominantly provided in skilled nursing facilities (SNFs). Delivering post-acute rehabilitation in patients' homes offers a potential alternative. Our aim was to describe and evaluate services and functional outcomes and then identify factors associated with the provision of a 30-day post-acute care (PAC) bundle of rehabilitation, medical, and social services provided via the Rehabilitation at Home (RaH) program.
designSingle-arm retrospective review of patients participating in the RaH program.
settingMultidisciplinary home-based delivery of PAC in Manhattan.
participantsIndividuals 18 years or older residing in a specified catchment area and qualifying for SNF-based rehabilitation services from October 2015 to September 2017.
resultsA total of 237 patients participated in RaH over 264 episodes of care. Participants were predominantly older than 85 years (57%; mean = 84.2; standard deviation [SD] = 10.0 years) and of non-Hispanic white (70%) race and ethnicity. Most were admitted after hospitalization (88.2%) for 117 different diagnostic related groups. Average length of stay in RaH was 14.2 (SD = 6.5) days with patients receiving 1.83 (SD = 2.22) medical provider, 1.67 (SD = 1.58) nursing, and 5.24 (SD = 1.05) physical therapist visits weekly. Most of the patients fully or almost fully met their goals for bed mobility (65%), bed transfer (69%), chair transfer (67%), and ambulation (64%) with the majority achieving moderate or considerable (61%) global functional improvement. Achieving moderate or considerable global improvement was negatively associated with dementia diagnosis (odds ratio [OR] = .23; 95% confidence interval [CI] = .08-.71) and positively associated with higher baseline ambulation (OR = 5.51; 95% CI = 2.22-13.66). At 30 days, 87.3% of participants were living in the community.
conclusionDelivering SNF-level post-acute rehabilitation care in patients' homes for a broad range of diagnoses is feasible and associated with functional improvement. This approach may help older adults maintain living status in the community. J Am Geriatr Soc 68:1584-1593, 2020.
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