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American Journal of Public Health, Vol 90, Issue 12 1920-1923, Copyright © 2000 by American Public Health Association

JOURNAL ARTICLE

Length of stay and hospital readmission for persons with disabilities

KJ Ottenbacher, PM Smith, SB Illig, RC Fiedler and CV Granger
University of Texas Medical Branch, Galveston 77555-1028, USA. kottenba@utmb.edu

OBJECTIVES: Length of stay (LOS) and hospital readmission for persons receiving medical rehabilitation were examined. METHODS: A total of 96,473 patient records (1994-1998) were analyzed. Mean age of patients was 68.97 years; 61% were female and 83% were non-Hispanic White. RESULTS: A decrease in LOS of 6.07 days (SD = 3.23) and increase in hospital readmission were found across all impairment groups (P < .001). Readmission increases ranged from 6.7% for amputations to 1.4% for orthopedic conditions. LOS was longer (2.1 days) for readmitted patients (P < .01). Age was not a significant predictor of rehospitalization. CONCLUSIONS: Understanding variables associated with rehospitalization is important as prospective payment systems are introduced for postacute care.


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