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TIMELY MUNICIPALITY REHABILITATION AFTER HOSPITALISATION REDUCES READMISSION AND EARLY MORTALITY.

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  • 1Research Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

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Summary

Timely rehabilitation initiation significantly reduces acute readmission and mortality risks. Starting rehabilitation within the legal timeframe improves patient outcomes, lowering 90-day and 365-day all-cause acute readmission and 365-day mortality.

Keywords:
hospitalisationmortalitymunicipalityreadmissionrehabilitation

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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Delayed rehabilitation initiation is a concern for patient recovery.
  • Understanding the impact of timely rehabilitation on readmission and mortality is crucial for healthcare policy.

Purpose of the Study:

  • To investigate the association between timely rehabilitation initiation and patient outcomes.
  • To analyze the impact of rehabilitation timing on 90-day and 365-day all-cause acute readmission and mortality.

Main Methods:

  • Registry-based observational cohort study of Odense Municipality residents (2015-2020).
  • Analysis included descriptive statistics, Cox regression, and cumulative incidence rates.
  • Utilized initiated rehabilitation referrals within 60 days.

Main Results:

  • 68.5% of 7,377 rehabilitation plans were initiated within the legal timeframe.
  • Timely initiation was linked to significantly reduced 90-day (aHR 0.82) and 365-day (HR 0.90) all-cause acute readmission.
  • Each week of delay increased readmission risk (HR 1.05); timely initiation reduced 365-day mortality (HR 0.74).

Conclusions:

  • Initiating rehabilitation within the legal timeframe (7 or 14 days) significantly lowers risks of 90-day and 365-day all-cause acute readmission.
  • Timely rehabilitation initiation is associated with a significant reduction in 365-day all-cause mortality.