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Updated: Oct 21, 2025

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

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Bounce-Back: Predicting Acute Readmission From Inpatient Rehabilitation for Patients With Stroke.

Pamela Roberts¹, Harriet Aronow, Debra Ouellette

¹From the Department of Physical Medicine and Rehabilitation, Cedars-Sinai, Los Angeles, California (PR); Department of Biomedical Sciences, Cedars-Sinai, Los Angeles, California (PR, HA); Department of Nursing Research, Cedars-Sinai, Los Angeles, California (HA, MS); Casa Colina Hospital and Centers for Healthcare, Pomona, California (DO); and Health Department, State University of New York at Cortland, Cortland, New York (MD).

American Journal of Physical Medicine & Rehabilitation

|September 6, 2021

Summary

Identifying stroke patients at risk for early hospital discharge or readmission is crucial. Factors like comorbidities, race, and functional status significantly impact these outcomes following inpatient rehabilitation.

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Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

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Published on: February 22, 2020

Area of Science:

Rehabilitation Medicine
Geriatric Medicine
Stroke Neurology

Background:

Inpatient rehabilitation is vital for stroke recovery.
Understanding readmission risks is key to improving patient outcomes and reducing healthcare costs.

Purpose of the Study:

To identify demographic, medical, and functional risk factors for acute hospital discharge before rehabilitation completion.
To identify risk factors for 7- and 30-day readmissions after inpatient rehabilitation for stroke patients.

Main Methods:

A large cohort study of 138,063 Medicare beneficiaries with new onset stroke.
Multivariate models analyzed data from 6 months pre-stroke to 30 days post-rehabilitation discharge.
Examined outcomes including acute hospital discharge and 7/30-day readmissions.

Main Results:

Comorbidities and complications increased acute discharge risk; longer stroke onset to rehabilitation admission also raised this risk.
Black patients, those with managed care Medicare, and complex comorbidities faced higher readmission rates.
Functional status was a significant factor across all analyzed outcomes.

Conclusions:

Demographic, medical, and functional characteristics are differentially associated with rehospitalization post-inpatient rehabilitation.
The model predicting discharge to an acute hospital demonstrated strong predictive power (c-statistic = 0.87).