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Transferring Inpatient Rehabilitation Facility Cancer Patients Back to Acute Care (TRIPBAC)
Author(s) -
Asher Arash,
Roberts Pamela S.,
Bresee Catherine,
Zabel Garret,
Riggs Richard V.,
Rogatko Andre
Publication year - 2014
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2014.01.009
Subject(s) - medicine , odds ratio , confidence interval , functional independence measure , acute care , cancer , rehabilitation , physical therapy , retrospective cohort study , emergency medicine , health care , economic growth , economics
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.