Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-06T08:48:23 RDF description of Readmission to an acute care hospital during inpatient rehabilitation after stroke - http://repository.healthpartners.com/individual/document-rn27955 Retrospective Studies public 2022-02-21T22:48:57.408-06:00 10.1097/phm.0000000000001844 33772 Rehabilitation document-rn27955 Readmission to an acute care hospital during inpatient rehabilitation after stroke 19766 American Journal of Physical Medicine and Rehabilitation Stroke <p><b>Objective </b> <br>To identify causes for readmission to acute care (RTAC) of patients admitted to inpatient rehabilitation facility (IRF) after stroke.<br> <b>Design </b> <br>The institutional Uniform Data System for Medical Rehabilitation database was used to identify stroke patients who experienced RTAC and an equal number of age/sex-matched group of patients who successfully completed their IRF stay during 2005-2018. Retrospective chart review was used to extract clinical data. The two study groups were compared using univariate and multivariate analyses.<br> <b>Results </b> <br>The rate of RTAC was 4.7% (n = 89; age 65 ± 14 years; 37% female; 65% white; 73% ischemic stroke). The most common indications for transfer were neurological (31%) and cardiovascular (28%). Compared to control group, the RTAC group had statistically higher rates of comorbid conditions, lower median (interquartile range) Functional Independence Measure (FIM) score on IRF admission [55 (37-65) vs. 64 (51-78); p < 0.001)], and a higher rate of sedative/hypnotic prescription (82% vs. 23%; p < 0.001).<br> <b>Conclusion </b> <br>RTAC is not common in our cohort. Patients who experienced RTAC had higher medical complexity and were prescribed more sedative/hypnotic medications than the control group. Practitioners should be vigilant in patients who meet these criteria.<p> 101 Hospitalization 5