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Comment & Response |

Physical Function and Hospital Readmissions

Jason R. Falvey, PT, DPT1; Robert E. Burke, MD2,3; Jennifer E. Stevens-Lapsley, PT, PhD1
[+] Author Affiliations
1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora
2Denver Veterans Affairs Medical Center, Denver, Colorado
3University of Colorado School of Medicine, Aurora
JAMA Intern Med. 2015;175(10):1722. doi:10.1001/jamainternmed.2015.3922.
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To the Editor In a recent article by Greysen et al,1 the authors presented evidence that preadmission functional status is often unrecognized as a risk factor for hospital readmissions in a cohort of older Medicare beneficiaries. In the discussion, the authors note that well-designed interventions (citing the randomized clinical trial by Naylor et al2) can be effective in reducing readmissions when targeting older adults with known functional impairments. This observation highlights the important paradox that the intervention by Naylor and colleagues2 showed minimal improvements in self-reported activity of daily living (ADL) performance yet had a significant effect in reducing hospital readmissions.


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October 1, 2015
S. Ryan Greysen, MD, MHS, MA; Kenneth E. Covinsky, MD, MPH
1Division of Hospital Medicine, University of California San Francisco (UCSF), San Francisco
2Division of Geriatric Medicine, University of California San Francisco, San Francisco3San Francisco Veterans Affairs Medical Center, San Francisco, California
JAMA Intern Med. 2015;175(10):1723. doi:10.1001/jamainternmed.2015.3925.
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