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|Title||Risk Factors for Rehospitalization among Patients in El-wafa Medical Rehabilitation Hospital|
The background and the purpose: The general objective of this study is to identify the risk factors for rehospitalizations among rehabilitated patients inEl-wafaMedicalRehabilitationHospital, also to identify the most frequent risk factor for rehospitalization. Methods: A case-control study design was used for conducting this study. Case subjects were those patients who were admitted two times or more during the period from 1/1/2000 to 31/1/2007, their diagnoses fall under Spinal Cord Injury (SCI), Traumatic Brain Injury (TBI), and Cerebrovascular Accidents (CVA). Moreover, control subjects had the same diagnoses, but were admitted once during the above-mentioned period. For the collection of the study data, the researcher used an interview with questionnaire filled by the interviewer. Results: The study showed that, concerning Sociodemographic data, date of injury was a significant determinant of the readmission. The subjects who has an intermediate (date of injury (2000-2003)) has the highest percentage (57.9%) of the readmitted subjects. The relationship between gender and age, and rehospitalization was not statistically significant. The results showed that pain (64.9%) and disturbance in urination pattern (77.2%) were significant physiologic risk factors for the readmission among the readmitted subjects. The most significant rehabilitation risk factor was the need to complete the rehabilitation program (61.4%). Also 50.9% of the readmitted subjects have completed their rehabilitation program and 82.5% of the readmitted subjects were greatly satisfied with the hospital services. Psychologically, 19.3% of the readmitted subjects feel that they are a heavy load on their families, and 36.8% of them feel that their families care for them better in the hospital than in their homes. In addition, the most prevalent diagnosis for readmission was SCI as they have higher number 25(43.9%) among the readmitted subjects, Whereas CVA represents 20 (35.1%) among the readmitted subjects, but TBI have a lower number 12 (21.1%) of the readmitted subjects. Concerning the length of stay (LOS), the results showed that, employment state is a significant sociodemographic factor in increasing the LOS, as the employed subjects have higher average LOS than those unemployed as follows respectively 100.86 days, 45.14 days. Furthermore, Respiratory Tract Infection (RTI) was a significant physiologic factor in increasing the LOS as subjects whose RTI was the cause for the 2nd admission have higher average LOS than those who was not, 104.60 days and 46.92 days respectively. In addition, the results showed, psychologically, that subjects who feel that their families care of them in the hospital more than at home, have higher (67.24 days) average LOS than those who are do not (43.08 days). In addition, it showed that subjects who feel discomfort in their homes have higher (87 days) average LOS than those who do not (41.64 days). Socially, the results showed that, subjects who claim to have a care giver in their homes, have lower (48.69 days) average LOS than those who do not (111.33 days), and the difference was extremely significant. Finally, the risk of rehospitalization may fall under one of the following domains, physiological, psychological, rehabilitation, and social. However, the risk factor of these domains may differ from one diagnosis to another. Therefore, the researcher recommends a future study on rehospitalization risk factors for each diagnosis independently and the cost of rehospitalization.
|Publisher||the islamic university|
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