ArticleJournal of the American Medical Directors Association2021
Functional Status Across Post-Acute Settings is Associated With 30-Day and 90-Day Hospital Readmissions.
Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Factors associated with post-stroke readmission: a systematic review and meta analysis.Scientific reports · 2025Pooled it
- Characterization of the Change in Physical Function in Adults From Acute Hospitalization to Home Health Care Across Diagnostic Categories.Archives of rehabilitation research and clinical translation · 2026Article
- The role of declining therapy volumes in skilled nursing facility outcomes: a mediation analysis.Health affairs scholar · 2026Article
- Implementing an Activity and Mobility Promotion Approach to Improve Patient Mobility.The American journal of nursing · 2025Article
- Crosswalk Algorithms for Cognitive and Functional Outcomes Among 2013-2018 Medicare Beneficiaries With Dementia.Journal of the American Medical Directors Association · 2024Article
- Group-based trajectories of potentially preventable hospitalisations among older adults after a hip fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019.JAMA network open · 2024Article
- Inpatient Rehabilitation Facility Ownership Type Yields Mixed Performances on Quality Measures.Archives of physical medicine and rehabilitation · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 2023Article
- Addressing non-response data for standardized post-acute functional items.BMC health services research · 2023Article
- Evaluation of post-acute care and one-year outcomes among Medicare beneficiaries with hip fractures: a retrospective cohort study.BMC medicine · 2023Article
- All-Cause Readmission or Potentially Avoidable Readmission: Which Is More Predictable Using Frailty, Comorbidities, and ADL?Innovation in aging · 2023Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine the association between cocalibrated functional scores across post-acute care settings and the subsequent risk of hospital readmission.
designRetrospective cohort study. SETTING AND
participantsWe analyzed 781,021 fee-for-service Medicare beneficiaries discharged to either inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), or home health agencies (HHA) after an acute hospital stay for stroke (N = 143,277), lower extremity joint replacements (512,577), and hip/femur fracture (125,167) between January 1, 2013, and August 31, 2014. MEASURES: Functional items from IRF-PAI, MDS, and OASIS were categorized into self-care and mobility domains. We cocalibrated admission functional scores across post-acute settings and divided scores into 4 functional levels using quartiles (Q1-Q4, with Q4 representing the most independent function). The primary outcomes were 30-day and 90-day hospital readmissions (yes/no) after an initial post-acute stay.
resultsPatients who were more dependent in self-care and mobility at the initial post-acute setting were significantly more likely to experience hospital readmission [eg, hazard ratios of 30-day readmission in stroke: 1.54 (95% confidence interval [CI] 1.47-1.61), 1.18 (95% CI 1.14-1.23), and 1.12 (95% CI 1.08-1.16) for Q1, Q2 and Q3, compared to Q4]. We found similar results for risk of 90-day hospital readmission across impairment conditions. CONCLUSIONS AND IMPLICATIONS: Patients who were more functionally dependent at the initial post-acute setting had a higher risk to readmit to the hospitals after discharging from the post-acute setting for 30 and 90 days, compared with patients who were more functionally independent. This finding is consistent across impairment conditions and post-acute settings. Future research should determine effective strategies of maintaining and facilitating functional performance across post-acute settings to optimize long-term patient outcomes.
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