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Effects of In-Hospital Rehabilitation on Preventing Hospital Readmissions in Patients With Cirrhosis: A Retrospective Cohort Study

Published:January 05, 2022DOI:https://doi.org/10.1016/j.apmr.2021.12.009

      Highlights

      • This study aimed to investigate the effect of rehabilitation on hospital readmissions in cirrhotic patients.
      • The present study demonstrated that rehabilitation is associated with lower proportions of 30- and 90-day readmissions in patients with cirrhosis.
      • Rehabilitation may be one way to reduce the risk of readmission in patients hospitalized for cirrhosis.

      Abstract

      Objectives

      To investigate the effect of rehabilitation on hospital readmissions in patients with cirrhosis.

      Design

      A retrospective cohort study.

      Setting

      Acute hospitals.

      Participants

      Patients hospitalized due to cirrhosis (N=6485).

      Interventions

      We defined rehabilitation as any type and intensity of rehabilitation administered by physical, occupational, or speech therapists.

      Main Outcome Measures

      Readmission within 30 days after discharge.

      Results

      Rehabilitation was provided to 1177 patients (19.0%). After propensity score matching, rehabilitation was associated with 30- and 90-day readmissions.

      Conclusions

      The present study demonstrated that rehabilitation is associated with lower proportions of 30- and 90-day readmissions in patients with cirrhosis. Therefore, rehabilitation may be one way to reduce the risk of readmission in patients hospitalized for cirrhosis.

      Keywords

      List of abbreviations:

      DPC (Diagnosis Procedure Combination), HR (hazard ratio), JMDC (Japan Medical Data Center), LOS (length of stay), MI (multiple imputation), RR (risk ratio)
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