Rehabilitation outcomes among burn injury patients with a second admission to an inpatient rehabilitation facility
Model System:
BurnReference Type:
JournalAccession No.:
J71556Journal:
PM & R
Year, Volume, Issue, Page(s):
, 6, 11, 999-1007Publication Website:
Abstract:
Study compared the rehabilitation outcomes of burn patients admitted to an inpatient rehabilitation facility (IRF) who were discharged to acute care and then readmitted to an IRF (repeaters) with those of burn patients admitted to an IRF only 1 time (nonrepeaters). A secondary analysis was performed of data from the Uniform Data System for Medical Rehabilitation, a national data repository, for burn injury patients aged 18 years or more who were admitted to IRFs between 2002 and 2011. Functional status was assessed using the Functional Independence Measure (FIM) instrument. Rehabilitation outcome variables examined included admission FIM total, rehabilitation length of stay, discharge FIM total, FIM change, FIM efficiency (total FIM points gained per day), and discharge disposition. Outcomes of the 188 repeaters’ second stay were compared to the 6,855 nonrepeaters’ first and only stay, using linear regression and logistic regression to determine whether repeater status was associated with rehabilitation outcomes. Analysis revealed that repeater status was inversely associated with discharge FIM total and FIM change in linear regression models. No other significant differences were found, and those differences in discharge FIM total and FIM change were small. The findings indicate that differences found in rehabilitation outcomes between the repeater and nonrepeater groups were small and may not reflect clinically meaningful differences. Burn injury patients who required a second IRF admission had rehabilitation outcomes similar to those of burn injury patients who did not require a second IRF admission, emphasizing the value of inpatient rehabilitation for burn injury IRF readmissions.
Author(s):
DiVita, Margaret A., Mix, Jacqueline M., Goldstein, Richard, Gerrard, Paul, Niewczyk, Paulette, Ryan, Colleen M., Kowalske, Karen, Zafonte, Ross, Schneider, Jeffrey C.