Depression and Activities of Daily Living Predict Rehospitalization Within 6 Months of Discharge From Geriatric Rehabilitation

Objective: Examine baseline predictors of rehospitalization over the first 18 months postdischarge. Study Design: Prospective longitudinal study. Participants and setting: Consecutive admissions (n = 194) to an urban medical rehabilitation hospital over the age of 60 and living alone prior to rehabi...

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Bibliographic Details
Published in:Rehabilitation psychology 2004-08, Vol.49 (3), p.219-223
Main Authors: Mast, Benjamin T, Azar, Armin R, MacNeill, Susan E, Lichtenberg, Peter A
Format: Article
Language:English
Subjects:
Activities of Daily Living
Geriatric Patients
Hospital Admission
Human
Major Depression
Rehabilitation
Relapse (Disorders)
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Summary:Objective: Examine baseline predictors of rehospitalization over the first 18 months postdischarge. Study Design: Prospective longitudinal study. Participants and setting: Consecutive admissions (n = 194) to an urban medical rehabilitation hospital over the age of 60 and living alone prior to rehabilitation. Main Outcome Measure: Rehospitalization over 3 time periods (0-3 months, 3-6 months, 6-18 months postdischarge). Results: Rehospitalization during the initial 3 months postdischarge was predicted by baseline limitations in activities of daily living (ADLs). Patients with depression at baseline were more likely to be rehospitalized during the 3- to 6-month period than were nondepressed patients. No significant predictors of rehospitalization were detected for the 6- to 18-month period. Conclusions: ADL limitations and depression are significant prognostic indicators of postdischarge outcome in geriatric rehabilitation.
ISSN:0090-5550
1939-1544
DOI:10.1037/0090-5550.49.3.219