{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T13:32:31Z","timestamp":1786541551580,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG052603"],"award-info":[{"award-number":["K23AG052603"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND\/OBJECTIVES<\/jats:title>\n                    <jats:p>Older adults are prone to functional decline during prolonged hospitalization. Although rehabilitation therapy is critical to preserving function, little is known about rehabilitation duration (RD) in this population. We sought to determine the extent of rehabilitation therapy provided to older adults during prolonged hospitalization, and whether this differs by sociodemographic and clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Single\u2010site safety\u2010net hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Older adults (\u226565\u2009years) hospitalized for \u226514\u2009days between 2016 and 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>The primary outcome was RD, defined as the average number of minutes of physical and occupational therapy per week. We used a multivariable generalized linear model to assess for differences in RD by sociodemographic and clinical characteristics. For a sub\u2010cohort of hospitalizations with a baseline mobility assessment, we repeated analyses including mobility limitation as a covariate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 1,031 hospitalizations by 925 unique patients (median age 72, 49% female, 79% non\u2010white, 40% non\u2010English speaking), the median RD was 61.3 minutes\/week (interquartile range\u2009=\u200916.5\u2013127.3). Covariates associated with lesser RD included black (57.2 fewer minutes\/week; 95% confidence interval (CI)\u2009=\u200922.9\u201391.4) and Hispanic (75.6 fewer minutes\/week; 95% CI\u2009=\u200933.8\u2013117.4) race\/ethnicity, speaking a language other than English or Spanish (51.7 fewer minutes\/week; 95% CI\u2009=\u200921.3\u201382.0), prolonged mechanical ventilation (30.0 fewer minutes\/week; 95% CI\u2009=\u20096.6\u201353.3), and do\u2010not\u2010resuscitate code status (36.0 fewer minutes\/week; 95% CI\u2009=\u200917.1\u201354.8). The inclusion of mobility limitation among the sub\u2010cohort (n\u2009=\u2009350) did not meaningfully change the associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>We found large disparities in RD for racial\/ethnic and language minorities and clinically vulnerable older adults (mechanical ventilation and do\u2010not\u2010resuscitate code status), independent of clinical severity and functional and cognitive impairment. Greater RD for these groups may improve functional outcomes and narrow the disparity gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16988","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T01:30:51Z","timestamp":1608687051000},"page":"1035-1044","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Factors Associated with Duration of Rehabilitation Among Older Adults with Prolonged Hospitalization"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2451-3583","authenticated-orcid":false,"given":"Danh Q.","family":"Nguyen","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical School  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nneka L.","family":"Ifejika","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Department of Neurology University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Department of Population and Data Sciences University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy A.","family":"Reistetter","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy University of Texas Medical Branch  Galveston Texas USA"},{"name":"Department of Occupational Therapy University of Texas Health Science Center  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil N.","family":"Makam","sequence":"additional","affiliation":[{"name":"Department of Population and Data Sciences University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Department of Internal Medicine University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Division of Hospital Medicine San Francisco General Hospital, University of California  San Francisco California USA"},{"name":"Center for Vulnerable Populations University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1556"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02023.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.10.M521"},{"issue":"4","key":"e_1_2_6_5_1","first-page":"421","article-title":"The use of formal and informal home care by the disabled elderly","volume":"27","author":"Kemper P","year":"1992","journal-title":"Health Serv Res"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/44.3.401"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.15.1187"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52354.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03276.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02393.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2004.06.016"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02455.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0029621"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00440060067008"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.4869"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1718"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-13-107"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.08.127"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2012.08.013"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.05.031"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638281003611078"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.06.067"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.10.018"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.07.012"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.35107"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53517.x"},{"key":"e_1_2_6_27_1","unstructured":"Agency for Healthcare Research and Quality.Clinical Classifications Software (CCS) for ICD\u20109\u2010CM.https:\/\/www.hcup-us.ahrq.gov\/toolssoftware\/procedure\/procedure.jsp. 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