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Table 3 Data extraction of identified studies

From: Factors influencing home discharge after inpatient rehabilitation of older patients: a systematic review

Influencing factor

Study

Influencing factor specified

Discharge destination

Result

Interpretation

Age

Bergés et al., 2008 [29]

Higher age

Home vs. institution

OR = 0.97 (0.97–0.98)*

Higher age is related to fewer home discharges

Chang et al., 2008 [9]

Each 1 year increase in age

Home vs. institution

OR = 0.99 (0.99–1.00)

Higher age is not related to discharge disposition

Chin et al., 2008 [10]

Age ≥ 80 years

Institution vs. home

OR = 1.92 (1.04–3.57)*

Higher age is related to discharge to an institution

New, 2007 [23]

Higher age

Home vs. institution

Wilkinson-rank sum test; p =0.01*

Higher age is related to fewer home discharges

Sansone et al., 2002 [27]

Age

Home vs. institution

OR = 1.05 (0.99–1.09)

Age is not related to discharge disposition

Siebens et al., 2012 [32]

Higher age

Home vs. institution

OR = 0.92 (0.87–0.96)*

Higher age is related to fewer home discharges

Vincent et al., 2006 [33]

Age group <85 vs. ≥85

Home vs. institution

χ 2; p < 0.05*

Higher age is related to fewer home discharges

Vincent et al., 2008 [34]

Age group <85 vs. ≥85

Non-home vs. home

OR = 3.63(3.37–3.89)‡

Higher age is related to fewer home discharges

Yan et al., 2013 [28]

Younger age

Home vs. not home

MANOVA; p = 0.04*

Younger age is related to home discharge

Ethnicity

Bergés et al., 2008 [29]

Black vs. white

Home vs. institution

OR = 1.23 (1.07–1.41)*

Black race is related to home discharge

Hispanic vs. white

OR = 1.51 (1.15–1.99)*

Hispanic race is related to home discharge

Asian vs. white

 

OR = 1.67 (0.93–3.00)

Asian race is not related to discharge disposition

Chang et al., 2008 [9]

Black vs. white

Home vs. institution

OR = 2.00 (1.55–2.59)*

Black race is related to home discharge

OR = 2.24 (1.66–3.02)*

Hispanic race is related to home discharge

Hispanic vs. white

Graham et al., 2008 [7]

Non-Hispanic black vs. white

Home vs. institution

OR = 2.02 (1.77–2.32)*

Non-Hispanic Black race is related to home discharge

Hispanic vs. white

 

OR = 1.90 (1.64–2.19)*

Hispanic race is related to home discharge

Asian vs. white

 

OR = 2.07 (1.55–2.78)*

Asian race is related to home discharge

Siebens et al., 2012 [32]

Nonwhite vs. white

Home vs. institution

OR = 4.34 (0.86–21.79)

Nonwhite race is not related discharge disposition

Marital status

Bergés et al., 2008 [29]

Married vs. not-married

Home vs. institution

OR = 2.42 (2.24–2.61)*

Being married is related to home discharge

Chang et al., 2008 [9]

Not-married vs. married

Home vs. institution

OR = 0.45 (0.40–0.51)*

Being not-married is related to fewer home discharges

Kurichi et al., 2013 [30]

Married vs. not-married

Home vs. institution

OR = 1.51 (1.14–1.99)**

Being married is related to home discharge

Functional status

Chin et al., 2008 [10]

Admission FIM score <75

Institution vs. home

OR = 4.68 (2.23–9.82)*

Lower functional status at admission is related to discharge to an institution

Sansone et al., 2002 [27]

Admission FIM score ≤71vs admission FIM score >72

Home vs. institution

OR = 0.91 (0.85–0.96)***

Lower functional status at admission is related to fewer home discharges

Yan et al., 2013 [28]

Admission FIM score

Home vs. institution

MANOVA p = 0.00***

Higher functional status at admission is related to home discharge

Cognition

Chin et al., 2008 [10]

Admission AMT <6

Institution vs. home

OR = 1.60 (0.87–2.96)

Impaired cognitive function at admission is not related to discharge disposition

Hershkovitz et al., 2007 [30]

MMSE score

Home vs. nursing home

OR = 1.11 (1.03–1.20)*

Higher cognitive functional level is related to home discharge

Siebens et al., 2012 [32]

Cognitive FIM at admission

Home vs. institution

OR = 1.06 (1.01–1.11)*

Better cognitive function at admission is related to home discharge

Depression

Hershkovitz et al., 2007 [30]

Presence of depression

Home vs. nursing home

OR = 0.30 (0.11–0.84)*

The presence of depression is related to fewer home discharges

Kurichi et al., 2013 [31]

Presence of depression

Home vs. institution

OR = 0.63 (0.40–0.98)*

The presence of depression is related to fewer home discharges

Clinical severity of illness

Siebens et al., 2012 [32]

Lower maximum severity

Home vs. institution

OR = 0.95 (0.93–0.97) ***

Lower severity of illness calculated by the CSI is related to home discharge

Treatment-level procedures

Kurichi et al., 2013 [31]

Ongoing active cardiac pathology (yes vs. no)

Home vs. institution

OR = 0.55 (0.37–0.81)**

Treatment level procedure is related to home discharge

Pre-hospital living situation

Yan et al., 2013 [28]

Lives alone vs. lives with someone

Home vs. institution

Fisher’s Exact Text: p = 0.35

Living alone is not related to discharge disposition

Hershkovitz et al., 2007 [30]

Presence of a caregiver at home

Home vs. nursing home

OR = 8.88 (1.76–44.9)*

The presence of a caregiver at home is related to home discharge

Gender

Bergés et al., 2008 [29]

Male vs. female

Home vs. institution

OR = 1.08 (1.01–1.17)*

Male gender is related to home discharge

Chang et al., 2008 [9]

Male vs. female

Home vs. institution

OR = 0.85 (0.75–0.96)*

Male gender is related to fewer home discharges

Kay et al., 2010 [22]

Male vs. female; etiology degenerative spinal disorders

Community-based residence vs. nursing home

OR = 1.00 (0.50–1.99)

Gender is not related to discharge disposition

OR = 0.98 (0.39–2.45)

Gender is not related to discharge disposition

Male vs. female; etiology malignant tumor

OR = 0.73 (0.22–2.49)

Gender is not related to discharge disposition

Male vs. female; etiology vascular ischemia

New, 2007 [23]

Male vs. female

Home vs. not home

χ 2; p = 0.00**

Female gender is related to fewer home discharges

Sansone et al., 2002 [27]

Male vs. female

Home vs. institution

OR = 1.01 (0.35–2.95)

Gender is not related to discharge disposition

Vincent et al., 2006 [33]

Female vs. male

Home vs. institution

χ 2; p < 0.05*

Female gender is related to fewer home discharges

Yan et al., 2013 [28]

Male vs. female

Home vs. institution

Fisher’s Exact Test; p = 0.27

Male gender is not related to discharge disposition

Comorbidity

Berges et al., 2008 [29]

One or more

Home vs. institution

OR = 1.14 (0.83–1.57)

The presence of one or more comorbidities is not related to discharge disposition

Chang et al., 2008 [9]

1–3 > 3

Home vs. institution

OR = 1.09 (0.73–1.63)

The presence of one or more comorbidities is not related to discharge disposition

OR = 1.35 (0.95–1.93)

Chin et al., 2008 [10]

CVA or Parkinsonism

Institution vs. home

OR = 1.18 (0.56–2.51)

The presence of CVA or Parkinsonism as a comorbidity is not related to discharge disposition

Kurichi et al., 2013 [31]

Congestive heart failure

Home vs. institution

OR = 0.62 (0.45–0.85)**

The presence of congestive heart failure as a comorbidity is associated with fewer home discharges

Sansone et al., 2002 [27]

1 or more vs. 0

Home vs. institution

OR = 1.13 (0.37–3.38)

The presence of a comorbidity is not associated with discharge disposition

Yan et al., 2013 [28]

Number of comorbidities

Home vs. institution

MANOVA p = 0.32

The number of comorbidities is not associated with discharge disposition

Type of surgery

Chin et al., 2008 [10]

Arthroplasty vs. Closed Reduction Internal Fixation (CRIF)

Institution vs. home

OR = 0.99 (0.56–1.73)

Fracture management is not related to discharge disposition

Vincent et al., 2006 [26]

Home discharge in the primary total hip arthroplasty (THA) group vs. the revision THA group

Home vs. institution

Kruskal-Wallis; p < 0.00***

Type of surgery in hip arthroplasty patients is related to home discharge

Vincent et al., 2006 [25]

Home discharge in the primary total knee arthroplasty (TKA) group vs. the revision TKA group

Home vs. institution

Kruskal-Wallis; p < 0.00***

Type of surgery in knee arthroplasty patients is related to home discharge

Vincent et al., 2008 [34]

Bilateral joint procedures (THA + TKA) or unilateral joint procedures

Home vs. institution

OR = 0.76 (0.49–1.01)

The type of joint procedure is not related to discharge disposition

Postoperative complications

Chin et al., 2008 [10]

Chest infection or urinary tract infection

Institution vs. home

OR = 1.44 (0.56–3.69)

The postoperative complications chest infection or urinary tract infection are not related to discharge disposition

Kurichi et al., 2013 [31]

Local significant infection at amputation

Home vs. institution

OR = 0.57 (0.39–0.83)**

Postoperative complications are related to fewer home discharges

Admission weight-bearing status

Siebens et al., 2012 [32]

Weight bearing as tolerated (WBAT) vs. restricted weight bearing (RWB) after hip fracture

Home vs. institution

OR = 2.58 (0.99–6.70)

Admission status “weight bearing as tolerated” is not related to discharge disposition

Hematocrit value

Vincent et al., 2010 [14]

Very low hematocrit (Hct <30 %) vs. low Hct (30–36 % women; 30–41 % men) vs. normal Hct (>36 % women; >41 % men)

Home vs. institution

χ 2; p > 0.05

Hematocrit value is not related to discharge disposition

Distance

Yan et al., 2013 [28]

Distance from inpatient rehabilitation facility in miles

Home vs. institution

MANOVA p = 0.09

The distance from the inpatient rehabilitation facility is not related to discharge disposition

Length of Stay in acute setting

Chin et al., 2008 [10]

>7 days

Institution vs. home

OR = 1.05 (0.59–1.87)

The length of stay in the acute setting is not related to discharge disposition

Obesity

Vincent et al., 2007 [24]

BMI <30 kg/m2 vs. BMI ≥30 kg/m2

Home vs. institution

χ 2; p >0.05

Obesity is not related to discharge disposition

Vincent et al., 2008 [34]

BMI ≥ 50 kg/m2 vs. BMI <50 kg/m2

Home vs. institution

OR = 0.97 (0.71–1.23)

BMI is not related to discharge disposition

Vincent et al., 2009 [35]

BMI <25 kg/m2 vs. BMI 25–29.9 kg/m2vs BMI 30–40 kg/m2 vs. BMI >40 kg/m2

Home vs. institution

χ 2; p >0.05

BMI is not related to discharge disposition

Yan et al., 2013 [28]

Difference in BMI between home discharge and not home discharge

Home vs. institution

MANOVA p = 0.78

BMI is not related to discharge disposition

Pain

Chin et al., 2008 [10]

VAS pain scale at admission ≥4

Institution vs. home

OR = 0.61 (0.33–1.13)

Higher pain score at admission is not related to discharge disposition

Pre-fracture mobility status

Chin et al., 2008 [10]

Dependent or non-walker

Institution vs. home

OR = 1.84 (0.94–3.60)

Pre-fracture dependent mobility status is not related to discharge disposition

Pressure sore

Chin et al., 2008 [10]

Pressure sore at admission to rehabilitation

Institution vs. home

OR = 1.10 (0.44–2.73)

The presence of a pressure sore at admission is not related to discharge disposition

Primary insurance

Chang et al., 2008 [9]

Private vs. Medicare

Home vs. institution

OR = 1.01 (0.81–1.25)

The type of primary insurance is not related to discharge disposition

Medicaid vs. Medicare

OR = 1.01 (0.45–2.28)

Other vs. Medicare

OR = 1.23 (0.70–2.17)

Smoking history

Sansone et al., 2002 [27]

Smoker vs. non-smoker

Home vs. institution

OR = 3.17 (0.86–11.63)

Smoking history is not related to discharge disposition

  1. vs. stands for versus; CVA denotes cerebrovascular accident; FIM Functional independence measure; AMT Abbreviated Mental Test; MMSE Mini Mental State Examination; CSI Comprehensive Severity Index and VAS Visual Analogue Scale
  2. *P < 0.05
  3. **p < 0.01
  4. ***p < 0.001