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

Tomohiko Kamo; Ryo Momosaki; Masato Azami; Hirofumi Ogihara; Satoshi Yuguchi; Ryoma Asahi; Keisuke Suzuki

doi:10.1016/j.apmr.2021.12.009

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

Arch Phys Med Rehabil. 2022 Sep;103(9):1730-1737. doi: 10.1016/j.apmr.2021.12.009. Epub 2022 Jan 6.

Authors

Tomohiko Kamo¹, Ryo Momosaki², Masato Azami³, Hirofumi Ogihara⁴, Satoshi Yuguchi³, Ryoma Asahi³, Keisuke Suzuki⁵

Affiliations

¹ Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, Saitama, Japan. Electronic address: t-kamo@jhsu.ac.jp.
² Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan.
³ Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, Saitama, Japan.
⁴ Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Sciences, Nagano University of Health and Medicine, Nagano, Japan.
⁵ Department of Physical Therapy, Faculty of Rehabilitation, Gifu University of Health Science, Gifu, Japan.

PMID: 34998713
DOI: 10.1016/j.apmr.2021.12.009

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: Liver cirrhosis; Propensity score; Rehabilitation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Hospitals, Rehabilitation
Humans
Liver Cirrhosis
Patient Discharge*
Patient Readmission*
Retrospective Studies
Risk Factors