Category: Clinical Sciences/Health Conditions
Acute inpatient rehabilitation centers (IRFs) have been shown to improve functional outcomes for cancer patients. Though the number of referrals to IRFs for cancer patients has grown, it still lags behind referrals for stroke, spinal cord and traumatic brain injury. Little is known about cancer patients discharged to IRFs and how they differ from those discharged to other levels of care. This study evaluates cancer patients based on discharge location and compares 30-day hospital readmission.
A retrospective chart review was performed on patient’s admitted to the University of Pennsylvania (UPenn) Health System between January 1, 2017 to August 31, 2018 with a diagnosis of cancer. Data was collected by the Penn Data Store using electronic medical records. IRB approval was obtained from UPenn.
Our findings suggest that certain cancer population subgroups may be more likely to require post-acute care services and may be at a higher risk for readmission. This may in part be due to their functional status on admission; however, there may be other medical and/or environmental factors that play a role. Further study is needed to better characterize the differences between these groups in order to identify predictors of use and possible barriers to access to facilities for patients who may benefit.
Mitra McLarney– Resident Physician, University of Pennsylvania
Frances Shofer– Director of Epidemiology & Biostatistics, University of Pennsylvania
Jasmine Zheng– Assistant Professor and Cancer Rehabilitation Attending of Physical Medicine and Rehabilitation, University of Pennsylvania