Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function
Kim Sun Jung1, Lee Joo Hun2, Han Boram3, Lam Julia4, Bukowy Elizabeth5, Rao Avinash4, Vulcano Jordan6, Andreeva Anelia6, Bertelson Heather6, Shin Hyun Phil7, Yoo Ji Won8,*()
1Department of Health Policy and Management, University of Michigan School of Public Health, Ann Arbor, Michigan, USA 2Department of Communication and Mass Media, Hanyang University College of Social Sciences, Seoul, Korea 3Department of Medicine, Kosin University College of Medicine, Busan, Korea 4Department of Medicine, University of Wisconsin School of Medicine and Public Health 5Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, Illinois, USA 6Department of Internal Medicine, Aurora Health Care, Milwaukee, Wisconsin, USA 7Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea 8Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA
To examine whether hospital-based physical therapy is associated with functional changes and early hospital readmission among hospitalized older adults with community-acquired pneumonia and declining physical function. Study design was a retrospective observation study. Participants were community-dwelling older adults admitted to medicine floor for community-acquired pneumonia (n = 1,058). Their physical function using Katz activities of daily living (ADL) Index declined between hospital admission and 48 hours since hospital admission (Katz ADL Index 6→5). The intervention group was those receiving physical therapy for ≥ 0.5 hour/day. Outcomes were Katz ADL Index at hospital discharge and all-cause 30-day hospital readmission rate. The intervention and control groups did not differ in the Katz ADL Index at hospital discharge (p = 0.11). All-cause 30-day hospital readmission rate was lower in the intervention than in control groups (OR = 0.65, p = 0.02). Hospital-based physical therapy has the benefits toward reducing 30-day hospital readmission rate of acutely ill older adults with community-acquired pneumonia and declining physical function.
Kim Sun Jung,Lee Joo Hun,Han Boram, et al. Effects of Hospital-Based Physical Therapy on Hospital Discharge Outcomes among Hospitalized Older Adults with Community-Acquired Pneumonia and DecliningPhysical Function[J]. Aging and disease,
2015, 6(3): 174-179.
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