ArticleJournal of the American Geriatrics Society2020
Factors Associated with Duration of Rehabilitation Among Older Adults with Prolonged Hospitalization.
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. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Associations Between Social Drivers of Health and Intervention Reach During Implementation of a Supervised Walking Program.Medical care · 2026Observational
- An interpretable machine learning model for preoperative risk stratification in paediatric congenital heart disease surgery: a retrospective cohort study.Journal of cardiothoracic surgery · 2026Article
- What are the characteristics of patients requiring reconditioning admitted to tertiary care inpatient rehabilitation services? An exploratory audit.Clinical rehabilitation · 2026Article
- Article
- Is More Rehabilitation Associated with Less Inpatient Post-Acute Care Use Among Older Adults with Prolonged Hospitalization?Journal of general internal medicine · 2025Article
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- Characteristics of rehabilitation duration in patients with intracerebral hemorrhage.Brain disorders (Amsterdam, Netherlands) · 2024Article
- Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
BACKGROUND/
objectivesOlder adults are prone to functional decline during prolonged hospitalization. Although rehabilitation therapy is critical to preserving function, little is known about rehabilitation duration (RD) in this population. We sought to determine the extent of rehabilitation therapy provided to older adults during prolonged hospitalization, and whether this differs by sociodemographic and clinical characteristics.
designRetrospective cohort.
settingSingle-site safety-net hospital.
participantsOlder adults (≥65 years) hospitalized for ≥14 days between 2016 and 2017. MEASUREMENTS: The primary outcome was RD, defined as the average number of minutes of physical and occupational therapy per week. We used a multivariable generalized linear model to assess for differences in RD by sociodemographic and clinical characteristics. For a sub-cohort of hospitalizations with a baseline mobility assessment, we repeated analyses including mobility limitation as a covariate.
resultsAmong 1,031 hospitalizations by 925 unique patients (median age 72, 49% female, 79% non-white, 40% non-English speaking), the median RD was 61.3 minutes/week (interquartile range = 16.5-127.3). Covariates associated with lesser RD included black (57.2 fewer minutes/week; 95% confidence interval (CI) = 22.9-91.4) and Hispanic (75.6 fewer minutes/week; 95% CI = 33.8-117.4) race/ethnicity, speaking a language other than English or Spanish (51.7 fewer minutes/week; 95% CI = 21.3-82.0), prolonged mechanical ventilation (30.0 fewer minutes/week; 95% CI = 6.6-53.3), and do-not-resuscitate code status (36.0 fewer minutes/week; 95% CI = 17.1-54.8). The inclusion of mobility limitation among the sub-cohort (n = 350) did not meaningfully change the associations.
conclusionWe found large disparities in RD for racial/ethnic and language minorities and clinically vulnerable older adults (mechanical ventilation and do-not-resuscitate code status), independent of clinical severity and functional and cognitive impairment. Greater RD for these groups may improve functional outcomes and narrow the disparity gap.
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