Alessandro Morandi|Giuseppe Bellelli|Eduard E. Vasilevskis|Renato Turco|Fabio Guerini|Tiziana Torpilliesi|Salvatore Speciale|Valeria Emiliani|Simona Gentile|John F. Schnelle|Marco Trabucchi
Predictors of Rehospitalization Among Elderly Patients Admitted to a Rehabilitation Hospital: The Role of Polypharmacy, Functional Status, and Length of Stay
Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Vanderbilt University|Gruppo di Ricerca Geriatrica|University of Milano-Bicocca|Vanderbilt University|Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Gruppo di Ricerca Geriatrica|Ca' Foncello Hospital|Vanderbilt University|Geriatric Research Education and Clinical Center|Gruppo di Ricerca Geriatrica|University of Rome Tor Vergata
rehospitalizations elderly patients increasing health care burden nonetheless limited information unplanned rehospitalizations related risk factors elderly patients admitted inhospital rehabilitation facilities acute hospitalizationinhospital rehabilitation aged care unitretrospective cohort studyelderly patients 65 years older admitted inhospital rehabilitation hospital acute hospitalization january 2004 june 2011the rate 30day unplanned rehospitalization hospitals recorded risk factors unplanned rehospitalization evaluated rehabilitation admission age comorbidity serum albumin number drugs decline functional status delirium mini mental state examination score length stay acute hospital multivariable cox proportional regression model used identify effect risk factors time event within 30day followupamong 2735 patients median age 80 years interquartile range 7485 98 4 rehospitalized within 30 days independent predictors 30day unplanned rehospitalization use 7 drugs hazard ratio hr 394 95 confidence interval 162954 p 002 significant decline functional status 56 points barthel index compared month hospital admission hr 267 95 ci 135527 p 005 additionally length stay acute hospital 13 days carried twofold higher risk rehospitalization hr 267 95 ci 139510 p 003the rate unplanned rehospitalization low study polypharmacy significant worsening functional status compared month acute hospital admission hospital length stay important risk factors