Number of Physical Therapy Visits Predicts Disposition Following Acute hospitalization for UTI in Community Dwelling Older Adults

Simmons, Tammy Marie

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Number of Physical Therapy Visits Predicts Disposition Following Acute hospitalization for UTI in Community Dwelling Older Adults

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MLA citation style (9th ed.)

Simmons, Tammy Marie. Number of Physical Therapy Visits Predicts Disposition Following Acute Hospitalization for Uti In Community Dwelling Older Adults. Combs-Miller, Stephanie.University of Indianapolis. 2018. uindy.hykucommons.org/concern/generic_works/0101ee2a-46f3-4013-9fca-0d73464a5a6e.

APA citation style (7th ed.)

S. T. Marie. (2018). Number of Physical Therapy Visits Predicts Disposition Following Acute hospitalization for UTI in Community Dwelling Older Adults. https://uindy.hykucommons.org/concern/generic_works/0101ee2a-46f3-4013-9fca-0d73464a5a6e

Chicago citation style (CMOS 17, author-date)

Simmons, Tammy Marie. Number of Physical Therapy Visits Predicts Disposition Following Acute Hospitalization for Uti In Community Dwelling Older Adults. University of Indianapolis. 2018. https://uindy.hykucommons.org/concern/generic_works/0101ee2a-46f3-4013-9fca-0d73464a5a6e.

Note: These citations are programmatically generated and may be incomplete.

Background: Immobility often results in functional dependence in community-dwelling older adults. Expenditures for healthcare related to immobility are projected to increase exponentially as the older adult population is expected to double by the year 2030. Purpose: the purpose of this retrospective study was to determine if differences in disposition and length of state (LOS), were related to the number of physical therapy (PT) sessions completed during an acute hospitalization for urinary tract infection (UTI). Method: Medical records of 523 participants were reviewed. Community-dwelling older adults admitted from home and functionally independent 30 days prior to hospitalization were included in the study. Demographic and patient characteristic data were collected as well as the number of PT sessions, LOS, and disposition status (home with self-care, home with home health PT, or subacute rehabilitation). Data were analyzed to determine if there was a predictive relationship between the number of PT sessions and LOS and the number of PT sessions and disposition status. Results: Not being discharged home with self-care increased LOS by 0.78 days. Those discharged to subacute rehabilitation stayed longer than those who returned to the community. When LOS and PT sessions increased together, discharge to subacute rehabilitation decreased. When LOS increased without additional PT, discharge to subacute rehabilitation occurred more frequently. Conclusion: It is imperative that older adults admitted for an acute hospitalization are prioritized for PT during their stay. Increasing the frequency of PT for these patients can improve their potential to be discharged back to the community.

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