AI Article Synopsis
- - Appropriate use of inpatient physical therapy can help prevent hospital-associated disability (HAD), and a study evaluated the potential overutilization of these services using the Activity Measure-Post Acute Care (AM-PAC) score.
- - The study, involving 3,592 admissions with an average age of 66, found that 38% of physical therapy consults were potentially unnecessary, especially among younger patients under 65.
- - Patients with higher mobility scores had a significantly greater chance (5.38 times) of being discharged to home, suggesting that better management of therapy consults could benefit both patient outcomes and healthcare efficiency.
Article Abstract
Appropriate use of inpatient physical therapy services is important for preventing hospital-associated disability (HAD). We assessed potential overutilization of physical therapy consults on hospital medicine services using the Activity Measure-Post Acute Care (AM-PAC) score. Our sample included 3592 unique admissions (mean age, 66 years; 48% women) at a large academic medical center. Based on an AM-PAC cutoff of >43.63 (raw score, 18) in patients who were discharged to home, 38% of physical therapy consults were considered "potential overutilization." Combined with age <65 years, 18% of consults remained "potential overutilization." After adjustment for age, sex, and length of stay, patients admitted with high mobility scores were 5.38 times more likely to be discharged to home (95% CI, 4.36-2.89) compared with those with low mobility scores. Being more judicious with physical therapy consults and reserving skilled therapy for at-risk patients could help prevent HAD while also having a positive impact on healthcare systems.
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| http://dx.doi.org/10.12788/jhm.3673 | DOI Listing |
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