TY - JOUR
T1 - The uniform data system for medical rehabilitation
T2 - Report of patients with debility discharged from inpatient rehabilitation programs in 2000-2010
AU - Galloway, Rebecca V.
AU - Granger, Carl V.
AU - Karmarkar, Amol M.
AU - Graham, James E.
AU - Deutsch, Anne
AU - Niewczyk, Paulette
AU - Divita, Margaret A.
AU - Ottenbacher, Kenneth J.
PY - 2013/1
Y1 - 2013/1
N2 - OBJECTIVE: Benchmark data are provided for a national sample of patients who received inpatient rehabilitation for debility. DESIGN: Patients with debility from 830 inpatient rehabilitation facilities in the United States contributing to the Uniform Data System for Medical Rehabilitation from 2000 to 2010 were examined. Demographic information (age, marital status, sex, race/ethnicity, prehospital living setting, and discharge setting), hospital information (length of stay, program interruptions, payer, and codes for admitting diagnosis), and functional status (Functional Independence Measure [FIM] instrument ratings at admission and discharge, FIM change, and FIM efficiency) were analyzed. RESULTS: Data from 2000 to 2010 (N = 260,373) revealed a decrease in mean (SD) FIM total admission ratings from 73.9 (16.2) to 62.5 (15.8). The FIM total discharge ratings decreased from 95.0 (19.7) to 88.2 (19.8). Mean (SD) length of stay decreased from 14.3 (9.1) to 12.1 (6.2) days. The FIM efficiency (change/day) increased from 1.9 (1.7) to 2.4 (1.9). Discharge to community decreased from 80% to 75%. Acute care discharges accounted for 12% of the cases. Policy changes affecting classification, reimbursement, and/or documentation processes may have influenced the results. CONCLUSIONS: National data indicate that the number of debility cases is increasing with diverse composition of etiologic diagnoses. A high proportion of these patients is discharged to acute care compared with other impairment groups.
AB - OBJECTIVE: Benchmark data are provided for a national sample of patients who received inpatient rehabilitation for debility. DESIGN: Patients with debility from 830 inpatient rehabilitation facilities in the United States contributing to the Uniform Data System for Medical Rehabilitation from 2000 to 2010 were examined. Demographic information (age, marital status, sex, race/ethnicity, prehospital living setting, and discharge setting), hospital information (length of stay, program interruptions, payer, and codes for admitting diagnosis), and functional status (Functional Independence Measure [FIM] instrument ratings at admission and discharge, FIM change, and FIM efficiency) were analyzed. RESULTS: Data from 2000 to 2010 (N = 260,373) revealed a decrease in mean (SD) FIM total admission ratings from 73.9 (16.2) to 62.5 (15.8). The FIM total discharge ratings decreased from 95.0 (19.7) to 88.2 (19.8). Mean (SD) length of stay decreased from 14.3 (9.1) to 12.1 (6.2) days. The FIM efficiency (change/day) increased from 1.9 (1.7) to 2.4 (1.9). Discharge to community decreased from 80% to 75%. Acute care discharges accounted for 12% of the cases. Policy changes affecting classification, reimbursement, and/or documentation processes may have influenced the results. CONCLUSIONS: National data indicate that the number of debility cases is increasing with diverse composition of etiologic diagnoses. A high proportion of these patients is discharged to acute care compared with other impairment groups.
KW - Activities of Daily Living
KW - Benchmarking
KW - Muscle Weakness
KW - Rehabilitation Outcome
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U2 - 10.1097/PHM.0b013e31827441bc
DO - 10.1097/PHM.0b013e31827441bc
M3 - Article
C2 - 23117268
AN - SCOPUS:84872090612
SN - 0894-9115
VL - 92
SP - 14
EP - 27
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
IS - 1
ER -