Return to the Primary Acute Care Service of Glioblastoma Multiforme Acute Inpatient Rehabilitation Patients

Abstract

<h3>Research Objectives</h3> 1) Determine the transfer rate to the primary acute care service of patients with World Health Organization (WHO) Grade IV Glioblastoma Multiforme (GBM) from acute inpatient rehabilitation (IPR). 2) Determine reasons for transfer back to the primary acute care service from IPR <h3>Design</h3> Retrospective Chart Review. <h3>Setting</h3> National Cancer Institute Comprehensive Cancer Center Acute Inpatient Rehabilitation Unit. <h3>Participants</h3> 140 unique GBM patients admitted to the acute inpatient rehabilitation unit from 4/1/2016 - 3/31/2020. Only first admissions to IPR were analyzed. <h3>Interventions</h3> Patients underwent acute inpatient rehabilitation. <h3>Main Outcome Measures</h3> Transfer to the acute care service. <h3>Results</h3> 107/140 (76.4%) of patients were discharged home from acute inpatient rehabilitation. 16/140 (11.4%) were transferred to the primary acute care service (1/16 was a planned transfer), 12/140 (8.6%) transferred to SNF, and 5/140 (3.6%) transferred to hospice. Of those transferred to primary service, 6/14 were transferred back to IPR, 5/14 to hospice, 4 to home, 2 to SNF. One patient transferred back for planned neurosurgical brain tumor resection. 6/14 were transferred back for unplanned neurosurgical complications. 3/14 were transferred back for respiratory decline (2/14 requiring immediate ICU transfer) due to pneumonia (1/14) and PE (2/14), 4/14 transferred to neuro-oncology for neurologic decline due to swelling or tumor progression. <h3>Conclusions</h3> The rate of transfer to the primary acute care service of GBM IPR patients is relatively low compared to other oncologic IPR populations and similar when compared to stroke and traumatic brain injury populations. <h3>Author(s) Disclosures</h3> Not Applicable.