Bie Bogh Søren, Möller Sören, Birk-Olsen Mette, Morsø Lars
Research Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Open Patient Data Explorative Network, Odense University Hospital, Region of Southern Denmark, Odense, Denmark.
J Rehabil Med Clin Commun. 2024 Sep 5;7:40636. doi: 10.2340/jrm-cc.v7.40636. eCollection 2024.
Firstly, the study explores the association between timely initiation of rehabilitation and 90-day and 365-day all-cause acute readmission and secondly, 90-day and 365-day all-cause mortality in a cohort of Odense Municipality residents.
The registry-based observational cohort study investigates acute contacts at Odense University Hospital from 2015 to 2020. Descriptive statistics, Cox regression and cumulative incidence rates were used for analysis.
The study utilizes initiated rehabilitation referrals within 60 days from Odense Municipality residents.
In total, 7,377 rehabilitation plans were initiated, including 5051 (68.5%) within the legal timeframe. Overall, timely initiation of rehabilitation within the legal timeframe was associated with a significantly reduced risk of 90-day all-cause acute readmission (Adjusted HR 0.82, 95% CI 0.74-0.90).In the adjusted analysis, timely initiation was also significantly associated with reduced risk in 365-day all-cause acute readmission (HR 0.90, 95% CI 0.83-0.97). Each week of delay in initiation of rehabilitation was associated with an increased risk of readmission (HR 1.05, 95% CI 1.02-1.07). Further, timely initiation of rehabilitation was associated with a significant reduction in the risk of 365-day all-cause mortality (HR 0.74, 95% CI 0.61-0.89).
Timely initiation of rehabilitation within the legal timeframe of 7 or 14 days was associated with significantly reduced risk of 90-day and 365-day all-cause acute readmission. Timely initiation of rehabilitation was also associated with significant reduction in the risk of 365-day all-cause mortality.
首先，本研究探讨在欧登塞市居民队列中，及时启动康复治疗与90天和365天全因急性再入院之间的关联；其次，探讨其与90天和365天全因死亡率之间的关联。
这项基于登记处的观察性队列研究调查了2015年至2020年期间在欧登塞大学医院的急性就诊情况。采用描述性统计、Cox回归和累积发病率进行分析。
本研究采用欧登塞市居民在60天内启动的康复转诊数据。
总共启动了7377项康复计划，其中5051项（68.5%）在法定时间范围内。总体而言，在法定时间范围内及时启动康复治疗与90天全因急性再入院风险显著降低相关（调整后风险比0.82，95%置信区间0.74 - 0.90）。在调整分析中，及时启动康复治疗也与365天全因急性再入院风险降低显著相关（风险比0.90，95%置信区间0.83 - 0.97）。康复治疗启动每延迟一周，再入院风险就会增加（风险比1.05，95%置信区间1.02 - 1.07）。此外，及时启动康复治疗与365天全因死亡率风险显著降低相关（风险比0.74，95%置信区间0.61 - 0.89）。
在7天或14天的法定时间范围内及时启动康复治疗与90天和365天全因急性再入院风险显著降低相关。及时启动康复治疗也与365天全因死亡率风险显著降低相关。
