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.
Falvey JR, Burke RE, Stevens-Lapsley JE. Physical Function and Hospital Readmissions. JAMA Intern Med. 2015;175(10):1722. doi:10.1001/jamainternmed.2015.3922