Please use this identifier to cite or link to this item: https://doi.org/10.1371/journal.pone.0082697
Title: Factors associated with nursing home placement of all patients admitted for inpatient rehabilitation in Singapore community hospitals from 1996 to 2005: A disease stratified analysis
Authors: Chen, C.
Naidoo, N. 
Er, B.
Cheong, A.
Fong, N.P. 
Tay, C.Y.
Chan, K.M.
Tan, B.Y.
Menon, E.
Ee, C.H.
Lee, K.K.
Ng, Y.S.
Teo, Y.Y. 
Koh, G.C.H. 
Issue Date: 23-Feb-2013
Citation: Chen, C., Naidoo, N., Er, B., Cheong, A., Fong, N.P., Tay, C.Y., Chan, K.M., Tan, B.Y., Menon, E., Ee, C.H., Lee, K.K., Ng, Y.S., Teo, Y.Y., Koh, G.C.H. (2013-02-23). Factors associated with nursing home placement of all patients admitted for inpatient rehabilitation in Singapore community hospitals from 1996 to 2005: A disease stratified analysis. PLoS ONE 8 (12) : -. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0082697
Abstract: Objectives: To (1) identify social and rehabilitation predictors of nursing home placement, (2) investigate the association between effectiveness and efficiency in rehabilitation and nursing home placement of patients admitted for inpatient rehabilitation from 1996 to 2005 by disease in Singapore. Design: National data were retrospectively extracted from medical records of community hospital. Data Sources: There were 12,506 first admissions for rehabilitation in four community hospitals. Of which, 8,594 (90.3%) patients were discharged home and 924 (9.7%) patients were discharged to a nursing home. Other discharge destinations such as sheltered home (n = 37), other community hospital (n = 31), death in community hospital (n = 12), acute hospital (n = 1,182) and discharge against doctor's advice (n = 24) were excluded. Outcome Measure: Nursing home placement. Results: Those who were discharged to nursing home had 33% lower median rehabilitation effectiveness and 29% lower median rehabilitation efficiency compared to those who were discharged to nursing homes. Patients discharged to nursing homes were significantly older (mean age: 77 vs. 73 years), had lower mean Bathel Index scores (40 vs. 48), a longer median length of stay (40 vs. 33 days) and a longer time to rehabilitation (19 vs. 15 days), had a higher proportion without a caregiver (28 vs. 7%), being single (21 vs. 7%) and had dementia (23 vs. 10%). Patients admitted for lower limb amputation or falls had an increased odds of being discharged to a nursing home by 175% (p
Source Title: PLoS ONE
URI: http://scholarbank.nus.edu.sg/handle/10635/108753
ISSN: 19326203
DOI: 10.1371/journal.pone.0082697
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