Interruptions in Inpatient Stroke Rehab Often Avoidable
Preventable causes include dehydration, heart failure, pneumonia, UTIs
WEDNESDAY, Oct. 5, 2016 (HealthDay News) -- Many interruptions in inpatient rehabilitation for stroke survivors and patients with brain and spinal cord injuries are avoidable, according to a study published online Sept. 14 in the American Journal of Physical Medicine & Rehabilitation.
Addie Middleton, Ph.D., of the University of Texas Medical Branch in Galveston, and colleagues analyzed Medicare data on 79,537 patients undergoing inpatient rehabilitation for stroke (71,769), brain injury (7,109) or spinal cord injury (659). All went to rehabilitation directly from the hospital. Rehabilitation interruptions occurred in 0.9 percent of stroke patients, 0.8 percent of brain injury patients, and 1.4 percent of spinal cord injury patients. In most cases, patients were transferred back to the hospital for treatment of complications.
The researchers found that, overall, about 11 to 12 percent of the rehabilitation interruptions may have been preventable, including 15 percent of those in stroke patients. Preventable causes of rehabilitation interruption included dehydration, heart failure, pneumonia, and urinary tract infections.
"Reducing rates of program interruptions and short-stay transfers will not just improve patient experiences of care, they will likely also translate to lower Medicare spending per beneficiary," the authors write. "Future research focused on identifying modifiable risk factors for these outcomes will allow for targeted preventative interventions."