Open AccessEffects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function
Author(s) -
Sun Jung Kim,
Joo Hun Lee,
Boram Han,
Julia Lam,
Elizabeth Bukowy,
Adupa P. Rao,
Jordan Vulcano,
А П Андреева,
Heather Bertelson,
Hyun Phil Shin,
Ji Won Yoo
Publication year - 2015
Publication title -
aging and disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.808
H-Index - 54
ISSN - 2152-5250
DOI - 10.14336/ad.2014.0801
Subject(s) - medicine , pneumonia , pneumonia severity index , hospital discharge , community hospital , intervention (counseling) , community acquired pneumonia , activities of daily living , emergency medicine , physical therapy , intensive care medicine , nursing
To examine whether hospital-based physical therapy is associated with functional changes and early hospital readmission among hospitalized older adults with community-acquired pneumonia and declining physical function. Study design was a retrospective observation study. Participants were community-dwelling older adults admitted to medicine floor for community-acquired pneumonia (n = 1,058). Their physical function using Katz activities of daily living (ADL) Index declined between hospital admission and 48 hours since hospital admission (Katz ADL Index 6→5). The intervention group was those receiving physical therapy for ≥ 0.5 hour/day. Outcomes were Katz ADL Index at hospital discharge and all-cause 30-day hospital readmission rate. The intervention and control groups did not differ in the Katz ADL Index at hospital discharge (p = 0.11). All-cause 30-day hospital readmission rate was lower in the intervention than in control groups (OR = 0.65, p = 0.02). Hospital-based physical therapy has the benefits toward reducing 30-day hospital readmission rate of acutely ill older adults with community-acquired pneumonia and declining physical function.