Disclosures: Emily R. Marquez, MD: No financial relationships or conflicts of interest

Objective: Prior studies have suggested that socioeconomic and demographic factors can influence the patient’s ultimate discharge disposition from inpatient rehabilitation. However, this has not been studied in individuals undergoing inpatient cancer rehabilitation. The primary objective of this study was to characterize the association between these factors and patients’ discharge disposition from inpatient cancer rehabilitation.

Design: Retrospective cohort study of 215 patients admitted for inpatient cancer rehabilitation. Data regarding demographics and socioeconomic status along with discharge disposition were obtained from the medical record. Setting : Free-standing Inpatient Rehabilitation Facility (IRF) Participants : Included were patients with a diagnosis of cancer admitted to an affiliated tertiary acute care center prior to inpatient rehabilitation.

Interventions: N/A

Main Outcome Measures: Discharge disposition from IRF

Results: Of the 215 patients analyzed, 172 (80%) were discharged home from the IRF. A positive association was found between private insurance and a discharge disposition of home (OR 2.07, P=0.04). A negative association with advanced age (defined as older than sixty-two years old) and being discharged home was found (OR 0.25, P=0.0003). No associations were found between home discharge disposition and the following factors: gender (P=0.40), non-married status (P=0.82), Hispanic, African-American or Native American ethnicity (P= 0.49), Medicaid (P=0.81) or Medicare (P=0.11) insurance. In addition, an area under the curve analysis was performed for median household income, and no association was found with discharge disposition (P=0.61). Conclusions: This study demonstrates advanced age and private insurance status are associated with a patient being discharged home following inpatient cancer rehabilitation. This work suggests that non-clinical factors may have an important contribution to an individual’s discharge disposition following inpatient cancer rehabilitation. Future research is needed to characterize the effect of these socioeconomic and demographic factors with functional outcomes.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/beyond-cancer-type-socioeconomic-and-demographic-factors-associated-with-discharge-to-home-following-inpatient-cancer-rehabilitation/