TRIPBAC: Transferring Inpatient Rehabilitation Facility Cancer Patients Back to Acute Care.

PM&R

PubMedID: 24440553

Asher A, Roberts PS, Bresee C, Zabel G, Riggs RV, Rogatko A. TRIPBAC: Transferring Inpatient Rehabilitation Facility Cancer Patients Back to Acute Care. PM R. 2014;6(9):808-13.
OBJECTIVE
Determine predictive factors for TRansferring Inpatient rehabilitation facility (IRF) cancer Patients Back to Acute Care (TRIPBAC).

DESIGN
Retrospective chart review of patients with cancer admitted to the IRF because of a functional impairment that developed as a direct consequence of their cancer or its treatment from 2009 - 2010.

SETTING
IRF of a community-based, academic, tertiary care facility.

METHODS
Characterization of patients with cancer in the IRF primarily based on analysis of the IRF Patient Assessment Instrument (IRF-PAI) and other internal IRF data logs.

MAIN OUTCOME MEASUREMENT
Frequency and reasons for TRIPBAC.

RESULTS
The TRIPBAC rate in our IRF was 17.4%. The most common reasons for TRIPBAC were post-neurosurgical complications (31%). Factors associated with TRIPBAC were a Motor Functional Independence Measure (FIM) score of 35 points or lower on admission [OR 4.01, 95% CI: 1.79, 8.98; p =.001] and the presence of a feeding tube or a modified diet [OR 3.18, 95% CI: 1.44, 7.04; p =.004].

CONCLUSIONS
Motor FIM score on admission is the best predictor for TRIPBAC in cancer patients admitted to our IRF followed by the presence of a feeding tube or a modified diet.