Journal:American Journal of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):14, 93, 3, 231-244
Study presents yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower-extremity fracture, lower-extremity joint replacement, traumatic spinal cord injury (SCI), or debility. Data were obtained from more than 300 inpatient rehabilitation facilities in the United States that contributed inpatient and follow-up data to the Uniform Data System for Medical Rehabilitation during the period January 2002 through December 2010. The final sample included 287,104 patients with follow-up information. Aggregate variables reported include demographic information, social situation, and functional status, assessed by Functional Independence Measure (FIM) instrument ratings at admission, discharge, and follow-up. Follow-up data were obtained 80 to180 days after discharge through telephone interviews by trained clinical staff. The median time to follow-up was 95 days. Overall, more than 90 percent of the patients within each impairment group were living in the community at follow-up. Follow-up FIM total ratings were stable to slightly increased over time. Change scores (discharge to follow-up) increased in all six groups. The mean FIM gains from discharge to follow-up, as a percentage of mean gains from admission to discharge, varied by impairment category: 46 percent for SCI to 71 percent for lower-extremity fracture. Locomotion yielded the lowest ratings at all three assessments within each of the six impairment groups. The follow-up data indicate that gains in mean functional independence scores from admission to discharge and from discharge to follow-up gradually increased from 2002 to 2010.