Session Information
Session Title: AA 2021 Virtual Posters - Pandemic
Session Time: None. Available on demand.
Disclosures: Lauren T. Shapiro, MD, MPH:
Objective: To identify differences in patient demographics, medical complexity, and rates of hospital readmission among adults discharged from the University of Miami Hospital (UM) to skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and home with home health care (HH) following hospitalization for infection with the novel coronavirus-2019 (COVID-19).
Design: Retrospective cohort studySetting : Acute care hospitalParticipants : All COVID-19 patients hospitalized at UM and discharged between April 1, 2020 and January 31, 2021 to SNF, IRF, or home with HH (n= 361).
Interventions: n/a
Main Outcome Measures: Hospital readmission rates; hospital length of stay; age; case mix index
Results: Thirty-five percent of those hospitalized with COVID-19 infection were discharged to a post-acute care setting: 11.1% to SNF, 4.1% to IRF, and 19.9% to home with HH. The group discharged to SNF had the highest average age at 79 years, compared with average ages of 70 and 68 in the groups discharged to IRF and home with HH, respectively. A higher proportion of those discharged to IRF received care in the intensive care unit and/or received mechanical ventilation. They also had a higher mean case mix index (3.31) than the those discharged to SNF (2.13) or home with HH (2.35) and a significantly longer mean hospital length of stay (22.55 days versus 15.71 days in the SNF group and 14.23 days in the HH group). Readmission to acute care occurred in 9.76% of those discharged to IRF, versus 11.44% of those discharged home with HH and 15.04% of those discharged to SNF.Conclusions: Patients discharged to IRF following COVID-19 infection had, on average, greater complexity and severity of illness, but were less likely to readmit to the hospital. This suggests an association between discharge setting and likelihood of readmission following hospitalization for COVID-19 infection. Further studies will be necessary to determine whether this association exists for discharges from other institutions.
Level of Evidence: Level III
To cite this abstract in AMA style:
Shapiro LT, Valecillos ADV, Gober J. Discharge to Post-Acute Rehabilitation Settings Following Hospitalization for COVID-19: A Single-Center Retrospective Study [abstract]. PM R. 2021; 13(S1)(suppl 1). https://pmrjabstracts.org/abstract/discharge-to-post-acute-rehabilitation-settings-following-hospitalization-for-covid-19-a-single-center-retrospective-study/. Accessed June 14, 2025.« Back to AAPM&R Annual Assembly 2021
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/discharge-to-post-acute-rehabilitation-settings-following-hospitalization-for-covid-19-a-single-center-retrospective-study/