From the Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, Florida (ADVV, JG, DJ-G, LTS); and Neuroscience Research Australia (NeuRA), Sydney, Australia (AEP).
Am J Phys Med Rehabil. 2023 Jul 1;102(7):605-610. doi: 10.1097/PHM.0000000000002162. Epub 2022 Dec 5.
The aim of the study is to identify differences in demographics, severity of disease, and rates of hospital readmission among adults discharged to skilled nursing facilities and inpatient rehabilitation facilities after hospitalization for coronavirus 2019.
This is a retrospective cohort study of adults hospitalized with coronavirus 2019 infection at academic medical centers participating in the Vizient Clinical Data Base between April 1, 2020, and June 30, 2021, who were discharged to skilled nursing facilities or inpatient rehabilitation facilities ( N = 39,882). Data from the Clinical Data Base are used with permission of Vizient, Inc. All rights reserved.
Among adults hospitalized with coronavirus 2019 infection, those discharged to skilled nursing facilities were 1.4 times more likely to require hospital readmission than those discharged to inpatient rehabilitation facilities. They were, on average, older (73 vs. 61 yrs, P < 0.001) and had shorter hospital lengths of stay (15 vs. 26 days, P < 0.0001) than the patients discharged to inpatient rehabilitation facilities. Persons discharged to inpatient rehabilitation facilities were more likely to have received intensive care and mechanical ventilation while hospitalized ( P < 0.001).
Individuals discharged to inpatient rehabilitation facilities after hospitalization for coronavirus 2019 differ from those discharged to skilled nursing facilities on a number of key variables, including age, hospital length of stay, having received intensive care, and odds of hospital readmission.
本研究旨在识别因 2019 年冠状病毒病住院后入住熟练护理设施和住院康复设施的成年人在人口统计学、疾病严重程度和住院再入院率方面的差异。
这是一项回顾性队列研究，纳入了 2020 年 4 月 1 日至 2021 年 6 月 30 日期间在参与 Vizient 临床数据库的学术医疗中心因 2019 年冠状病毒病感染住院的成年人，这些成年人被出院到熟练护理设施或住院康复设施（N=39882）。Vizient，Inc. 授权使用临床数据库中的数据。保留所有权利。
在因 2019 年冠状病毒病住院的成年人中，出院到熟练护理设施的成年人比出院到住院康复设施的成年人再次住院的可能性高 1.4 倍。他们的平均年龄较大（73 岁比 61 岁，P<0.001），住院时间较短（15 天比 26 天，P<0.0001），比出院到住院康复设施的患者。出院到住院康复设施的患者在住院期间更有可能接受重症监护和机械通气（P<0.001）。
因 2019 年冠状病毒病住院后出院到住院康复设施的个体与出院到熟练护理设施的个体在多个关键变量上存在差异，包括年龄、住院时间、是否接受重症监护以及再次住院的可能性。
