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Aim

Interaction effects between rehabilitation and discharge destination on inpatients’ functional abilities. Fase Badriah, MPH; Takeru Abe, PhD; Hidekazu Miyamoto, PhD; Megumi Moriya, MS; Akira Babazono, MD, PhD; Akihito Hagihara, DMSc, MPH. Aim

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  1. Interaction effects between rehabilitation and discharge destination on inpatients’ functional abilities Fase Badriah, MPH; Takeru Abe, PhD; Hidekazu Miyamoto, PhD; Megumi Moriya, MS; Akira Babazono, MD, PhD; Akihito Hagihara, DMSc, MPH

  2. Aim • Examine how in-hospital rehabilitation and discharge destination interact to influence patients’ subsequent functional abilities. • Relevance • No studies have evaluated how functional abilities following discharge are influenced by these two factors.

  3. Method • Participants: • 835 stroke, orthopedic, and disuse syndrome inpatients who underwent rehabilitation Feb 2008-Dec 2010 at Japanese hospital. • Hierarchical linear regression analysis in each condition subgroup estimated interaction effects between rehabilitation therapy and discharge destination on subsequent functional ability. • Dependent variable: • Functional Independence Measure (FIM) score at 3 mo after hospital discharge.

  4. Results • Stroke and orthopedic patients: • Significant interaction between rehabilitation potential (measure based on FIM effectiveness measure) and discharge destination (home or other).

  5. Conclusion • Rehabilitation during hospital stay and discharge destination interacted to influence patients’ functional ability after hospital discharge in stroke patients and orthopedic patients. • Findings may be useful in deciding discharge destination for patients. • Transition-support program for rehabilitation patients discharged to their homes should be considered.

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