Rehabilitation Therapy and Multimorbidity: A Retrospective Cohort Study.

Aims: Home care rehabilitation therapists can address the functional health needs of those with multimorbidity. This study described individuals with multimorbidity receiving home care rehabilitation therapy and examined the relationship between receipt of rehabilitation therapy and hospital utiliza...

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Publicado en:Physical & Occupational Therapy in Geriatrics Vol. 42; no. 4; pp. 378 - 407
Autores principales: Mofina, Amanda, Miller, Jordan, Tranmer, Joan, Li, Wenbin, Donnelly, Catherine
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 42
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      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02703181.2024.2322488
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        atl: Rehabilitation Therapy and Multimorbidity: A Retrospective Cohort Study.
      aug:
        au:
          Mofina, Amanda
          Miller, Jordan
          Tranmer, Joan
          Li, Wenbin
          Donnelly, Catherine
        affil: School of Public Health Sciences, University of Waterloo, Waterloo, Canada
      sug:
        subj:
          Comorbidity
          Home Rehabilitation Trends
          Home Health Care Trends
          Health Care Delivery Trends
          Hospitals
          Health Resource Utilization Trends
          Human
          Retrospective Design
          Record Review
          Prospective Studies
          Rehabilitation Patients
          Length of Stay
          Funding Source
          Correlational Studies
          Rehabilitation Centers
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Time
          Inpatients
          Comparative Studies
          Ontario
          Questionnaires
          T-Tests
          Analysis of Variance
          Chi Square Test
          Male
          Female
          Aged
          Aged, 80 and Over
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Aims: Home care rehabilitation therapists can address the functional health needs of those with multimorbidity. This study described individuals with multimorbidity receiving home care rehabilitation therapy and examined the relationship between receipt of rehabilitation therapy and hospital utilization. Methods: The cohort included long-stay home care clients experiencing multimorbidity who were discharged from an inpatient rehabilitation setting (N = 5,234) between 2007 and 2015. Multivariable logistic regression was used to examine the association between receipt of rehabilitation therapy and hospitalization. Results: Nearly 40% of this cohort had 5+ chronic conditions. Those receiving only rehabilitation therapy were less likely to be readmitted to the hospital (OR = 0.68; 95% CI: 0.51–0.92), and less likely to use emergency services (OR = 0.80; 95% CI: 0.66–0.97) at the 3-month timeframe. Similar trends were observed at the 12-month timeframe. Conclusions: Individuals with multimorbidity have complex health needs and home care rehabilitation therapists aid in sustained discharges and influence subsequent health utilization.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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