Evidence map›Paper›PMID 41023365›Full record

ArticleScientific reports2025

Factors influencing post discharge activities of daily living in patients receiving rehabilitation in acute care hospital.

Hirotomo Shibahashi, Yuya Takakubo, Miyuki Murakawa, Michiaki Takagi, Masayasu Murakami

Abstract read
In one paragraph

Article in Scientific reports, 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. 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

5 authors.

Hirotomo ShibahashiDepartment of Rehabilitation, School of Health Sciences, Tokyo University of Technology, Tokyo, 144-0051, Japan. hrtm.shibahashi@gmail.com.
Yuya TakakuboDepartment of Orthopedic Surgery, Yamagata University Faculty of Medicine, Yamagata Prefecture, Yamagata, 990-9585, Japan.
Miyuki MurakawaRehabilitation Unit, Yamagata University Hospital, Yamagata Prefecture, Yamagata, 990- 9585, Japan.
Michiaki TakagiDepartment of Orthopedic Surgery, Yamagata University Faculty of Medicine, Yamagata Prefecture, Yamagata, 990-9585, Japan.
Masayasu MurakamiDepartment of Health Policy Science, Graduate School of Medical Science, Yamagata University, Yamagata prefecture, Yamagata, 990-9585, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-discharge functional outcomes in patients undergoing acute rehabilitation-especially regarding activities of daily living (ADL) and instrumental activities of daily living (IADL)-remain inadequately understood. The combined effects of demographic factors and in-hospital variables on ADL and IADL status at discharge has not been clearly defined. This study aimed to clarify these associations to support effective discharge planning and post-discharge care strategies. We retrospectively analyzed 309 adult patients who received rehabilitation in an acute care hospital in Japan between April and September 2016. Patients who underwent only assessments, were pediatric, deceased, or did not receive rehabilitation were excluded. Demographic data and Barthel Index scores at rehabilitation initiation and discharge were extracted. Post-discharge ADL and IADL status were assessed approximately 1.5-2 years later using a questionnaire based on the Frenchay Activities Index (FAI). Among the 309 patients, 57 were transferred, 249 discharged home, and 3 institutionalized. ADL and IADL scores were significantly higher in the home discharge group. Higher ADL scores at discharge and post-discharge were independently associated with higher FAI scores, underscoring the importance of ADL independence for post-discharge IADL recovery. Addressing ADL limitations and optimizing rehabilitation may enhance IADL outcomes and support independent living after discharge.

Indexed as

Activities of Daily LivingPatient DischargeAdultAgedAged, 80 and overFemaleHumansJapanMaleMiddle AgedRetrospective StudiesSurveys and QuestionnairesAcute care hospitalInstrumental activities of daily livingRehabilitation

Identifiers

PMID41023365
PMCPMC12480720

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Registered trials

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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.