Ottenbacher K J, Smith P M, Illig S B, Fiedler R C, Granger C V
University of Texas Medical Branch, Galveston 77555-1028, USA.
Am J Public Health. 2000 Dec;90(12):1920-3. doi: 10.2105/ajph.90.12.1920.
Length of stay (LOS) and hospital readmission for persons receiving medical rehabilitation were examined.
A total of 96,473 patient records (1994-1998) were analyzed. Mean age of patients was 68.97 years; 61% were female and 83% were non-Hispanic White.
A decrease in LOS of 6.07 days (SD = 3.23) and increase in hospital readmission were found across all impairment groups (P < .001). Readmission increases ranged from 6.7% for amputations to 1.4% for orthopedic conditions. LOS was longer (2.1 days) for readmitted patients (P < .01). Age was not a significant predictor of rehospitalization.
Understanding variables associated with rehospitalization is important as prospective payment systems are introduced for postacute care.
对接受医学康复治疗的患者的住院时间（LOS）和再次入院情况进行了研究。
分析了总共96473份患者记录（1994 - 1998年）。患者的平均年龄为68.97岁；61%为女性，83%为非西班牙裔白人。
在所有损伤组中，住院时间减少了6.07天（标准差 = 3.23），再次入院率有所增加（P < .001）。再次入院率的增幅从截肢患者的6.7%到骨科疾病患者的1.4%不等。再次入院患者的住院时间更长（2.1天）（P < .01）。年龄不是再次住院的显著预测因素。
随着对急性后护理引入前瞻性支付系统，了解与再次住院相关的变量很重要。
