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Nursing home rehabilitation after acute rehabilitation: predictors and outcomes. Arch Phys Med Rehabil 1998 Jun;79(6):670-3



Pubmed ID




Scopus ID

2-s2.0-0031802310 (requires institutional sign-in at Scopus site)   15 Citations


OBJECTIVE: To determine the predictive factors and functional outcomes of patients who were discharged from an acute rehabilitation unit to a nursing home care unit (NHCU) at a Veterans Affairs (VA) hospital.

DESIGN: Cohort descriptive study.

SETTING: An academically affiliated urban VA Medical Center.

PATIENTS: All patients (n = 81, median age 68 years) admitted to a VA rehabilitation unit over a 1-year period.

OUTCOME MEASURES: Discharge locations, predictors for NHCU transfer, and functional status as determined by Functional Independence Measure (FIM) scores.

RESULTS: Patients discharged to the NHCU (17%) were compared with those discharged to the community (80%). Multiple logistic regression analysis showed that acute rehabilitation length of stay (LOS), admission, and discharge FIM scores were the only independent variables that predicted discharge to the VA NHCU. Although overall FIM gains in both groups during acute rehabilitation were similar, the NHCU group had significantly lower admission FIM scores and lower LOS efficiency because of longer acute rehabilitation LOS. Postacute NHCU rehabilitation resulted in significant gains in FIM scores at a slower rate. Sixty-four percent of these nursing home patients eventually returned to the community.

CONCLUSION: Nursing home rehabilitation can result in favorable functional and community outcomes for selected patients.

Author List

Kosasih JB, Borca HH, Wenninger WJ, Duthie E


Edmund H. Duthie MD Professor in the Medicine department at Medical College of Wisconsin
Judith B. Kosasih MD Professor in the Physical Medicine and Rehabilitation department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Activities of Daily Living
Aged, 80 and over
Hospitals, Veterans
Length of Stay
Logistic Models
Middle Aged
Nursing Homes
Patient Discharge
Patient Transfer
Predictive Value of Tests
Referral and Consultation
Rehabilitation Centers