Abstract
Objectives
Previous research has shown that ethnicity may play a role in increased risk for hospital
readmission during a post-acute rehabilitation care (PARC) stay. However, little is
known about risk factors influencing discharge status from PARC settings among different
ethnic groups. Hence, the aim of our study was to investigate the relationship of
individual characteristics (eg, sex, neighborhood quality) and health behavior (use
of rehabilitation services) with rehospitalization across ethnic groups of older adult
patients who received post-acute rehabilitation for a cardiovascular disease at a
skilled nursing facility (SNF).
Design
Retrospective study with data extraction from electronic medical records (EMRs) at
admission and discharge.
Setting
SNF.
Participants
The sample consisted of 520 post-acute rehabilitation patients (96 Hispanics, 172
African Americans, and 252 Whites) 60 years or older with an admitting condition of
a circulatory-related disease.
Measurements
Sociodemographic and health-related variables, and discharge status (rehospitalized
or home).
Results
For the Hispanic sample, lower community quality was associated with a greater likelihood
of being rehospitalized. For African Americans, having no social support, higher levels
of admission functional dependency, and shorter length of stay were significantly
associated with a higher likelihood of being rehospitalized. For the group of White
participants, the following variables emerged as risk factors for rehospitalization:
being male, lower admission cognitive functioning, higher levels of admission depressive
symptomatology, and shorter length of stay.
Conclusions/Implications
Individual characteristics and health behaviors that are risk factors for rehospitalization
during a post-acute stay vary across ethnic groups. Hence, the study provides insights
for PARC clinicians into specific patient characteristics to be aware of as risk factors
for less optimal patient outcomes.
Keywords
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Article info
Publication history
Published online: November 20, 2019
Footnotes
This research did not receive funding from agencies in the public, commercial, or not-for-profit sectors.
The authors declare no conflicts of interest.
Identification
Copyright
© 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
