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Factors affecting discharge destination following lung transplantation
Author(s) -
Tang Min,
Mawji Nadir,
Chung Samantha,
Brijlal Ryan,
Lim Sze How Jonathan Ken,
Wickerson Lisa,
Rozenberg Dmitry,
Singer Lianne G.,
Mathur Sunita,
JanaudisFerreira Tania
Publication year - 2015
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12556
Subject(s) - medicine , rehabilitation , demographics , mechanical ventilation , intensive care unit , emergency medicine , hospital discharge , transplantation , intensive care medicine , health care , retrospective cohort study , physical therapy , surgery , demography , sociology , economic growth , economics
Background Lung transplant ( LT ) recipients requiring additional care may be referred to inpatient rehabilitation prior to discharge home. This study seeks to describe discharge destinations following LT , compare the characteristics of patients discharged to different destinations, and identify the predictors of discharge destination. Methods Retrospective study of 243 LT recipients who survived to hospital discharge between 2006 and 2009. LT recipients were compared based on discharge destination on data pertaining to demographics, clinical characteristics, and healthcare utilization. Results Of the 243 recipients, 197 (81%) were discharged home, 42 (17%) to inpatient rehabilitation, and 4 (2%) to other medical facilities. Age, pulmonary diagnosis, most recent six‐minute walk distance (6 MWD ) prior to transplant, pre‐transplant mechanical ventilation, priority listing status, pre‐ and post‐transplant intensive care unit length of stay ( ICU LOS ), post‐transplant LOS , total LOS , and participation in pre‐transplant rehabilitation were statistically different between patients that were discharged home versus inpatient rehabilitation. Age, most recent 6 MWD prior to transplant, pre‐transplant mechanical ventilation, and total LOS were found to be independent predictors of discharge destination. Conclusion Clinical factors can help identify patients more likely to require inpatient rehabilitation. Identification of these factors has the potential to facilitate early discharge planning and optimize continuity of care.