Article

This study aimed to examine the ability of different domains of
activity limitation to predict discharge destination (home vs. nonhome settings)
1 mo after hospital discharge for postacute rehabilitation patients. DESIGN: A secondary analysis was conducted using a data set of 518 adults with neurologic,
lower extremity orthopedic, and complex medical conditions followed after
discharge from a hospital into postacute care. Variables collected at baseline
include activity limitations (basic mobility, daily activity, and applied
cognitive function, measured by the Activity Measure for Post-Acute Care),
demographics, diagnosis, and cognitive status. The discharge destination was
recorded at 1 mo after being discharged from the hospital. RESULTS: Correlational
analyses revealed that the 1-mo discharge destination was correlated with two
domains of activity (basic mobility and daily activity) and cognitive status.
However, multiple logistic regression and receiver operating characteristic curve
analyses showed that basic mobility functioning performed the best in
discriminating home vs. nonhome living. CONCLUSIONS: This study supported the
evidence that basic mobility functioning is a critical determinant of discharge
home for postacute rehabilitation patients. The Activity Measure for Post-Acute
Care-basic mobility showed good usability in discriminating home vs. nonhome
living. The findings shed light on the importance of basic mobility functioning
in the discharge planning process.

Langue : ANGLAIS