Session Time: 12:30pm-2:00pm
Location: Research Hub - Kiosk 2
Disclosures: Olga Komargodski, MD: Nothing to disclose
Objective: The aim of the study was to determine whether after-hours admission to an Inpatient Rehabilitation hospital affected the patients’ functional outcomes.
Design: Retrospective Cohort Study.
Setting: Rehabilitation Unit in a Tertiary Hospital.
Participants: We have performed a historical cohort study of all 2791 patients admitted to acute inpatient rehabilitation center from December 2015 to September 2018. The study population was divided into two groups. Early admission was defined from 7 am to 5 pm. Late admission from 5 pm to 7 am. Cut off time of 5 pm was chosen because the on-call team was in charge of admissions afterward. The groups were further divided into Neurological and General Rehabilitation.
Interventions: Not applicable.
Main Outcome Measures: Length of Stay (LOS), Functional Independence Measurement (FIM), Discharge setting, Risk for Rapid Response since admission.
Results: There was a significant difference in Length of Stay (LOS) between Early and Late admission 12.39 days vs 13.02 days (P =.016). This difference was also observed in the General Rehabilitation group 10.45 days vs 11.36 days (P=.005), but not in the Neurological Rehabilitation group 14.24 vs 14.75 (P =.19). There was no difference in Functional Independence Score (FIM) change between the early and late admission 24.45 vs 24.03 (P =.4). There was no difference in discharge setting (P=.83). There was no difference in the risk for Rapid Response for the late vs early admission group with hazard ratio 1.03 (0.99 to 1.03).
Conclusions: After-hours admission of the patient to Acute Inpatient Rehabilitation led to longer Length of Stay. This change was observed in the General Rehabilitation group, but not in the Neurological Rehabilitation group. Late Admission had no impact on FIM change, discharge setting or risk of Rapid Responses. Further studies in additional settings are needed.
Level of Evidence: Level III
To cite this abstract in AMA style:Komargodski O, Zhang J, Echaide C, He S, Yu G. Time of Admission Impact on Outcomes in an Acute Rehabilitation Setting [abstract]. PM R. 2019; 11(S2)(suppl 2). https://pmrjabstracts.org/abstract/time-of-admission-impact-on-outcomes-in-an-acute-rehabilitation-setting/. Accessed September 22, 2023.
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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/time-of-admission-impact-on-outcomes-in-an-acute-rehabilitation-setting/