@article{171efa31dfab47f3a3ec703555339b93,
title = "The association of patient-reported improvement and rehabilitation characteristics with mortality",
abstract = "This study aims to investigate the association of patient-reported improvement and rehabilitation characteristics with mortality among older adults who received rehabilitation. To do so, a national sample of Medicare beneficiaries from the National Health and Aging Trends Study was examined. Among those who reported receiving rehabilitation services in the 2015 interview (N = 1,188), 4.2% were deceased at the 2016 follow-up interview. Mortality was more common among those who had received rehabilitation in nursing home or inpatient and in-home settings compared to outpatient rehabilitation settings. In multivariable analyses accounting for demographics and health status, patient-reported worsening of functioning during rehabilitation (OR=15.69; 95% CI: 1.84–133.45) and cardiovascular disease (OR=4.15; 95% CI: 1.41–12.17) were associated with mortality. Among older adults who received rehabilitation, 1 in 25 were deceased at follow-up. That patient-reported functioning is associated with mortality suggests that more systematically including patient-reported outcomes in rehabilitation care may be clinically pertinent.",
keywords = "Frail older adults, Medicare, Patient outcomes assessment, Post-acute care, Rehabilitation",
author = "Adam Simning and Caprio, {Thomas V.} and Szanton, {Sarah L.} and Helena Temkin-Greener and Yeates Conwell",
note = "Funding Information: Funding Sources: The National Health and Aging Trends Study (NHATS) dataset is publicly available (available at www.nhats.org), and NHATS was funded by the National Institute on Aging (grant number U01AG032947) through a cooperative agreement with the Johns Hopkins Bloomberg School of Public Health. Adam Simning was supported by the National Institute on Aging (grant number K23AG058757). The funders had no role in our article's design, data analysis, decision to publish, or preparation of the manuscript. Funding Information: Funding Sources: The National Health and Aging Trends Study (NHATS) dataset is publicly available (available at www.nhats.org ), and NHATS was funded by the National Institute on Aging (grant number U01AG032947 ) through a cooperative agreement with the Johns Hopkins Bloomberg School of Public Health. Adam Simning was supported by the National Institute on Aging (grant number K23AG058757 ). The funders had no role in our article's design, data analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",
year = "2019",
month = nov,
day = "1",
doi = "10.1016/j.gerinurse.2019.06.006",
language = "English (US)",
volume = "40",
pages = "620--628",
journal = "Geriatric Nursing",
issn = "0197-4572",
publisher = "Mosby Inc.",
number = "6",
}