Article

OBJECTIVE: To determine predictive factors for TRansferring Inpatient
rehabilitation facility (IRF) cancer Patients Back to Acute Care (TRIPBAC).
DESIGN: A retrospective chart review of patients with cancer admitted to an IRF
from 2009 to 2010 because of a functional impairment that developed as a direct
consequence of their cancer or its treatment. SETTING:
IRF of a community-based,
academic, tertiary care facility. METHODS: The characterization of patients with
cancer in the IRF was primarily based on analysis of the IRF Patient Assessment
Instrument and other internal IRF data logs. MAIN OUTCOME MEASUREMENT: Frequency
and reasons for TRIPBAC. RESULTS: The TRIPBAC rate in our IRF was 17.4%. The most
common reasons for TRIPBAC were postneurosurgical complications (31%). Factors
associated with TRIPBAC were a motor Functional Independence Measure score of 35
points or lower on admission (odds ratio 4.01, 95% confidence interval 1.79-8.98;
P = .001) and the presence of a feeding tube or a modified diet (odds ratio 3.18,
95% confidence interval 1.44-7.04; P = .004).
CONCLUSIONS: Motor Functional
Independence Measure score on admission is the best predictor for TRIPBAC in
patients with cancer admitted to our IRF, followed by the presence of a feeding
tube or a modified diet.
CI - Copyright (c) 2014 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS