Different rehabilitation destinations: non-clinical factors associated with inpatient rehabilitation versus skilled nursing placement.
5 affiliations
- 1Department of Physical Therapy (AZ), Southern California University of Health Sciences, Whittier, CA, United States.
- 2Study Design and Biostatistics Center, University of Utah, Salt Lake City, UT, United States.
- 3Department of Occupational Therapy and Recreational Therapies, University of Utah, Salt Lake City, UT, United States.
- 4Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, United States.
- 5Department of Physical Therapy, Intermountain Health, Park City, UT, United States.
Abstract
Examine clinical and non-clinical factors associated with post-acute rehabilitation placement after acute ischemic stroke. 236 adults hospitalized with acute ischemic stroke; independent and community-dwelling before stroke; and discharged to an inpatient rehabilitation facility (IRF; n = 171) or skilled nursing facility (SNF; n = 65). Clinical factors included NIHSS, Charlson Comorbidity Index (CCI), length of stay (LOS), AM-PAC "6-Clicks," and neglect. Non-clinical factors included demographics and contextual characteristics. Logistic regression was used for associations with discharge location. Individuals discharged to IRFs were younger, more likely to cohabitate, and had shorter LOS. Functional status (AM-PAC) and CCI did not differ significantly between groups despite differences in discharge destination. In univariable analyses, younger age, cohabitating marital status, living with family, available assistance, shorter LOS, private insurance, and higher NIHSS were associated with greater odds of IRF discharge. In the multivariable analysis, increasing age (OR 0.95, 95% CI 0.91-0.98) and greater comorbidity burden (CCI: OR 0.85, 95% CI 0.73-0.98) were associated with lower odds of IRF discharge. Marital status was not associated with discharge destination after adjustment. Among previously independent stroke survivors, discharged to an IRF or SNF increasing age and greater comorbidity burden were associated with lower odds of IRF placement after adjustment. NIHSS and AM-PAC Daily Activities scores were not associated with placement in the adjusted analysis.
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BibTeX
@article{hayes2026different,
title = {{Different rehabilitation destinations: non-clinical factors associated with inpatient rehabilitation versus skilled nursing placement.}},
author = {Heather A Hayes and Chong Zhang and Siqi Xiang and Bradley Smith and Perry Williams and Angela P Presson and Maggie French},
journal = {Frontiers in rehabilitation sciences},
year = {2026},
month = oct,
doi = {10.3389/fresc.2026.1984193},
url = {https://europepmc.org/article/MED/42953114},
note = {CC BY},
}
RIS
TY - JOUR
TI - Different rehabilitation destinations: non-clinical factors associated with inpatient rehabilitation versus skilled nursing placement.
AU - Heather A Hayes
AU - Chong Zhang
AU - Siqi Xiang
AU - Bradley Smith
AU - Perry Williams
AU - Angela P Presson
AU - Maggie French
PY - 2026
DA - 2026/10/14
JO - Frontiers in rehabilitation sciences
DO - 10.3389/fresc.2026.1984193
UR - https://europepmc.org/article/MED/42953114
AB - Examine clinical and non-clinical factors associated with post-acute rehabilitation placement after acute ischemic stroke. 236 adults hospitalized with acute ischemic stroke; independent and community-dwelling before stroke; and discharged to an inpatient rehabilitation facility (IRF; n = 171) or skilled nursing facility (SNF; n = 65). Clinical factors included NIHSS, Charlson Comorbidity Index (CCI), length of stay (LOS), AM-PAC "6-Clicks," and neglect. Non-clinical factors included demographics and contextual characteristics. Logistic regression was used for associations with discharge location. Individuals discharged to IRFs were younger, more likely to cohabitate, and had shorter LOS. Functional status (AM-PAC) and CCI did not differ significantly between groups despite differences in discharge destination. In univariable analyses, younger age, cohabitating marital status, living with family, available assistance, shorter LOS, private insurance, and higher NIHSS were associated with greater odds of IRF discharge. In the multivariable analysis, increasing age (OR 0.95, 95% CI 0.91-0.98) and greater comorbidity burden (CCI: OR 0.85, 95% CI 0.73-0.98) were associated with lower odds of IRF discharge. Marital status was not associated with discharge destination after adjustment. Among previously independent stroke survivors, discharged to an IRF or SNF increasing age and greater comorbidity burden were associated with lower odds of IRF placement after adjustment. NIHSS and AM-PAC Daily Activities scores were not associated with placement in the adjusted analysis.
SN - 2673-6861
ER -