OBJECTIVES Previous research has shown that ethnicity may play a role in increased risk for hospital readmission during a post-acute rehabilitation care (PARC) stay. However, little is known about risk factors influencing discharge status from PARC settings among different ethnic groups. Hence, the aim of our study was to investigate the relationship of individual characteristics (eg, sex, neighborhood quality) and health behavior (use of rehabilitation services) with rehospitalization across ethnic groups of older adult patients who received post-acute rehabilitation for a cardiovascular disease at a skilled nursing facility (SNF). DESIGN Retrospective study with data extraction from electronic medical records (EMRs) at admission and discharge. SETTING SNF. PARTICIPANTS The sample consisted of 520 post-acute rehabilitation patients (96 Hispanics, 172 African Americans, and 252 Whites) 60 years or older with an admitting condition of a circulatory-related disease. MEASUREMENTS Sociodemographic and health-related variables, and discharge status (rehospitalized or home). RESULTS For the Hispanic sample, lower community quality was associated with a greater likelihood of being rehospitalized. For African Americans, having no social support, higher levels of admission functional dependency, and shorter length of stay were significantly associated with a higher likelihood of being rehospitalized. For the group of White participants, the following variables emerged as risk factors for rehospitalization: being male, lower admission cognitive functioning, higher levels of admission depressive symptomatology, and shorter length of stay. CONCLUSIONS/IMPLICATIONS Individual characteristics and health behaviors that are risk factors for rehospitalization during a post-acute stay vary across ethnic groups. Hence, the study provides insights for PARC clinicians into specific patient characteristics to be aware of as risk factors for less optimal patient outcomes.

中文翻译：

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不同族群急性后康复再住院的预测因素

目标 先前的研究表明，种族可能在急性后康复护理 (PARC) 住院期间再次入院的风险增加中发挥作用。然而，关于影响不同种族群体在 PARC 环境中出院状态的风险因素知之甚少。因此，我们研究的目的是调查个体特征（例如，性别、邻里质量）和健康行为（使用康复服务）与接受心血管疾病急性期后康复的老年患者各族群再住院的关系。在专业护理机构 (SNF) 感染疾病。设计 从入院和出院时的电子病历 (EMR) 中提取数据的回顾性研究。设置 SNF。参与者 样本包括 520 名急性康复后患者（96 名西班牙裔、172 名非裔美国人和 252 名白人）60 岁或以上，患有循环相关疾病。测量 社会人口学和健康相关变量，以及出院状态（再住院或在家）。结果 对于西班牙裔样本，社区质量越低，再住院的可能性越大。对于非裔美国人来说，没有社会支持、入院功能依赖程度较高和住院时间较短与再住院的可能性较高显着相关。对于白人参与者组，以下变量成为再住院的风险因素：男性、入院认知功能较低、入院抑郁症状水平较高以及住院时间较短。结论/意义 作为急性期后住院期间再住院风险因素的个体特征和健康行为因种族而异。因此，该研究为 PARC 临床医生提供了对特定患者特征的见解，以便将其视为不太理想的患者结果的风险因素。