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Rehabilitation Patterns After Hospitalization: Results from a Danish Registry
Lars Morsø1,2, Mette Birk-Olsen3, Søren Bie Bogh1,2
1Research Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Clinical Rehabilitation
|December 5, 2024
Summary
Early rehabilitation initiation is crucial, as over 25% of rehabilitation plans are never started. Delays beyond 30 days significantly decrease the likelihood of patients receiving needed rehabilitation care.
Area of Science:
- Rehabilitation medicine
- Public health
- Healthcare systems analysis
Background:
- Rehabilitation is vital for managing disability, addressing a significant global health burden.
- Effective rehabilitation strategies are essential for improving patient outcomes and quality of life.
Purpose of the Study:
- To examine rehabilitation plan activation patterns in patients discharged from Odense University Hospital.
- To identify factors influencing the initiation and timely activation of rehabilitation plans.
- To assess adherence to legal requirements for rehabilitation plan implementation.
Main Methods:
- Register-based study utilizing hospital contacts, rehabilitation referrals, and municipal data (2015-2020).
- Involved descriptive statistics, logistic regression, Cox regression, and cumulative incidence rates.
- Analyzed 225,653 hospital contacts, with 10,327 (5%) receiving a rehabilitation plan.
Main Results:
- Rehabilitation plans were more common among females and those with increased co-morbidity.
- Plan prescription increased with age and for ethnic Danish individuals.
- Initiation peaked within the first few weeks, plateauing between 30-60 days; delays beyond 30 days increased non-initiation likelihood.
Conclusions:
- Over 25% of municipality rehabilitation plans were never initiated, highlighting a critical gap in care.
- Delayed initiation (beyond 30 days) significantly reduced the probability of plan activation.
- Emphasizes the need for international focus on early rehabilitation to improve utilization and patient outcomes.
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