トモリ　コウノスケ   友利　幸之介    所属   医療保健学部 リハビリテーション学科　作業療法学専攻    職種   教授
言語種別	英語
発行・発表の年月	2021
形態種別	学術論文
査読	査読あり
標題	Medical costs and readmissions after intensive post-stroke rehabilitation: Japanese claims data
執筆形態	共著
掲載誌名	JAMDA
掲載区分	国外
巻・号・頁	22(8),pp.1762-1766
著者・共著者	Nagayama H, Tomori K, Ikeda K, Yamauchi K,
概要	This study examined the association between intensive rehabilitation for subacute stroke patients and medical costs and readmission ratio during the year after discharge.This was a natural experiment study. From the database, 980 patients who were admitted to a convalescent rehabilitation unit with stroke were identified. After excluding 575 patients, 405 were eligible for the study. Daily rehabilitation time, total rehabilitation time, and total medical costs of the high-intensity rehabilitation group were significantly higher than those of the low-intensity rehabilitation group (P < .001, P < .001, P = .011, respectively). However, there was no significant difference in the medical costs during the year after discharge (P = .653) or in the readmission ratio (hazard ratio: 1.09, 95% confidence interval: 0.55-2.18, P = .804). Intensive rehabilitation did not reduce medical costs or the readmission ratio during the first year after discharge.
外部リンクURL	https://doi.org/10.1016/j.jamda.2020.12.015