Category: Health Policy and Systems
To evaluate the impact of age, sex, insurance type, and primary diagnosis on the discharge disposition of pediatric patients with inpatient rehabilitation needs.
We identified children discharged from a large children’s hospital with a recommendation for inpatient rehabilitation (IRF), and examined correlations between discharge disposition and age, sex, primary admission diagnosis and insurance type. Standard descriptive statistical methods were employed. We constructed a logistic regression model to identify primary predictive factors after controlling for other variables; a sensitivity model employed bootstrapping to mitigate the effect of a small sample size.
About half of the children recommended for inpatient rehabilitation were discharged to IRF. While no significant correlation was seen between discharge disposition and insurance type, age, or sex, children with severe primary diagnoses were more likely to be successfully discharged to an inpatient rehabilitation facility. Future studies utilizing larger sample sizes, or data from multiple centers, can provide insights on ways of improving rates of rehabilitation among this vulnerable population.
Valentine Chukwuma– Medical Student, Vanderbilt University School of Medicine
R. Sterling Haring– Resident Physician, Vanderbilt University Medical Center
Sarah Welch– Resident Physician, Vanderbilt University Medical Center
Elizabeth Martin– Assistant Professor, Pediatric Rehabilitation Medicine, Vanderbilt University Medical Center
Katherine Hedden– Pediatric Physical Therapist, Monroe Carell Jr. Children's Hospital at Vanderbilt
Camille Marsden– Pediatric Occupational Therapist, Monroe Carell Jr. Children's Hospital at Vanderbilt
Philip Davis– Medical Student, Vanderbilt University