The purpose of this retrospective chart review study was to determine whether physical therapists (PTs) were accurate in determining home discharge (DC) disposition as measured by all cause- and mobility-related readmissions and to examine the extent to which predictors of readmission are associated with PT DC disposition decision making.
A retrospective medical record review was completed for 322 patients with at least 1 PT visit who were discharged to home from a large tertiary care teaching hospital. Demographic and clinical data were collected. Multivariate binary logistic regression was used to determine predictors of readmission and PT DC recommendations for location, social support, and post–acute PT services.
Only 2 of 287 (0.70%) patients recommended for home DC by PT were readmitted and 4 of the 287 (1.39%) returned to the emergency department for mobility-related problems. Having 24-hour social support available upon DC was the only significant predictor of all 3 PT DC recommendations; otherwise, no extensive overlap of predictors was found among the regression models.
The results of the present study affirm the accuracy of PT determination of safe DC to home, and although no extensive overlap of the predictors of readmission and PT decision making was found, the relationships among the various predictors are hypothesis-generating as to the way in which PT decision making might help reduce non–mobility-related readmissions.