Evidence map›Paper›PMID 39340569›Full record

ArticleZeitschrift fur Gerontologie und Geriatrie2025

[Rehabilitative subacute inpatient care-Optimizing posthospital care for geriatric patients with rehabilitation needs: results of the REKUP study].

Anne Keilhauer, Christian Werner, Sandra Diekmann, Pauline Zur Nieden, Kathrin Pahmeier, Anja Neumann, Anke Walendzik, Theresa Hüer, Pascal Raszke, Jürgen Wasem and 3 more

Abstract readEnglish Abstract
In one paragraph

Article in Zeitschrift fur Gerontologie und Geriatrie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. [Innovation in geriatric rehabilitation].Zeitschrift fur Gerontologie und Geriatrie · 2025
    Article
  2. Article
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

13 authors.

Anne KeilhauerGeriatrisches Zentrum, Universitätsklinikum Heidelberg, Agaplesion Bethanien Krankenhaus Heidelberg, Rohrbacher Straße 149, 69126, Heidelberg, Deutschland.
Christian WernerGeriatrisches Zentrum, Universitätsklinikum Heidelberg, Agaplesion Bethanien Krankenhaus Heidelberg, Rohrbacher Straße 149, 69126, Heidelberg, Deutschland. christian.werner@med.uni-heidelberg.de.
Sandra DiekmannEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Bredeneyer Str. 2b, 45133, Essen, Deutschland.
Pauline Zur NiedenEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Bredeneyer Str. 2b, 45133, Essen, Deutschland.
Kathrin PahmeierEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Bredeneyer Str. 2b, 45133, Essen, Deutschland.
Anja NeumannEssener Forschungsinstitut für Medizinmanagement (EsFoMed) GmbH, Bredeneyer Str. 2b, 45133, Essen, Deutschland.
Anke WalendzikLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Str. 9, 45127, Essen, Deutschland.
Theresa HüerLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Str. 9, 45127, Essen, Deutschland.
Pascal RaszkeLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Str. 9, 45127, Essen, Deutschland.
Jürgen WasemLehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Str. 9, 45127, Essen, Deutschland.
Julia Frankenhauser-MannußUnternehmensbereich Versorgungsgestaltung, Geschäftsbereich Versorgungsinnovationen & sektorenübergreifende Versorgungslösungen, AOK Baden-Württemberg, Presselstraße 19, 70191, Stuttgart, Deutschland.
Norbert Specht-LeibleGeriatrisches Zentrum, Universitätsklinikum Heidelberg, Agaplesion Bethanien Krankenhaus Heidelberg, Rohrbacher Straße 149, 69126, Heidelberg, Deutschland.
Jürgen M BauerGeriatrisches Zentrum, Universitätsklinikum Heidelberg, Agaplesion Bethanien Krankenhaus Heidelberg, Rohrbacher Straße 149, 69126, Heidelberg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric patients in subacute inpatient care (SC) with rehabilitation needs after hospitalization seldom utilize rehabilitative services and are often transitioned to long-term care (LTC), suggesting that their care in SC can be optimized.

objectiveTo evaluate the effectiveness of rehabilitative subacute inpatient care (REKUP) in improving the care of geriatric patients in SC with rehabilitation needs after hospitalization.

methodsThe study was conducted as a nonrandomized intervention trial with an historical control group (CG). The intervention group (IG: n = 49) received REKUP (activating therapeutic care, functional rehabilitative therapy, psychosocial services, medical care), while the CG (n = 57) received usual care during SC. Primary outcomes were transition to inpatient rehabilitation, home, and LTC, deteriorated care setting, care level, and mortality within 3 months after SC. Secondary outcomes were functional, motor and psychological variables.

resultsThe transition rate to inpatient rehabilitation (82% vs. 37%) and home (86% vs. 65%) was higher (p < 0.05) in the IG than in the CG. The proportion of persons utilizing LTC (12% vs. 35%) and with deteriorated care setting (35% vs. 60%) was lower (p < 0.01) in the IG than in the CG. The Barthel Index, visual analogue scale of the EQ-5D, and numerical pain scale improved (p < 0.05) during the SC stay in the IG but not in the CG. DISCUSSION: REKUP as a new care model for SC promotes the transition to inpatient rehabilitation, reduces the utilization of LTC and improves the chances of returning home and achieving greater independence in geriatric patients with rehabilitation needs after hospitalization.

Indexed as

AftercareHospitalizationSubacute CareAgedAged, 80 and overFemaleGermanyHumansLong-Term CareMaleRehabilitationTreatment OutcomeFrail older adultsIntersectoral collaborationNursing careQuality of healthcareRehabilitation

Identifiers

PMID39340569
PMCPMC12238062

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.