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Incidence and outcome of interrupted geriatric rehabilitation requiring acute hospital transfer

  • Christopher N. OsuaforEmail author
  • Syazwani N. M. Sahimi
  • Sree Enduluri
  • Frances McCarthy
Brief Report

Abstract

Background and aims

Elderly rehabilitation programs provide a period of rehabilitation to optimize a safe home discharge after acute hospitalization of older adults. Often, these patients may have their rehabilitation interrupted when they become unwell and subsequently require transfer back to an acute hospital setting. We will look at the incidence and outcome of this interruption. This paper aimed to determine the incidence of interrupted post-acute geriatric rehabilitation requiring acute hospital transfer and to analyze the outcome of the transfers.

Methods

An analysis of a retrospective cohort of elderly patients admitted into a 22-bed community-based geriatric rehabilitation unit over a 48-month period.

Results

Five hundred thirty-nine patients were admitted for rehabilitation. Fifty (9.3%) patients had their rehabilitation interrupted and were transferred to an acute hospital setting. Sixty-six percent were females; mean age 82.1 ± 8.7 years. Final diagnosis was acute severe infections (44%), traumatic fracture secondary to fall (10%), intraabdominal complications (10%), cardiac complications (8%), and acute neurological event (6%). Of these patients, 42% had a fatal outcome while 32% returned for rehabilitation.

Conclusion

Interrupted geriatric rehabilitation requiring acute hospital transfer occurred in 9.3% of patients; acute severe infection was the most common cause. These transfers were associated with significant mortality. Rehabilitation programs should focus improvement efforts on identifying suitable patients for rehabilitation, optimizing care transitions, and minimizing rates of transfers.

Keywords

Comorbidity Elderly Patient transfer Rehabilitation 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

For this type of study, formal consent is not required.

Ethical approval

For this service evaluation study, ethical approval was not required in our institution.

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Copyright information

© Royal Academy of Medicine in Ireland 2019

Authors and Affiliations

  1. 1.Department of Medicine for the ElderlySt Mary’s HospitalDublinIreland
  2. 2.Department of Medicine for the ElderlyAddenbrookes HospitalCambridgeUnited Kingdom
  3. 3.University College DublinBelfieldIreland

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