Article

The aim of this study was to provide benchmarking information for a
large national sample of patients receiving inpatient rehabilitation because of a
hip fracture. DESIGN:
A secondary data analysis of records from 893 medical
rehabilitation facilities located in the United States that contributed
information to the Uniform Data System for Medical Rehabilitation from January
2000 through December 2007 was performed. Variables analyzed included demographic
information (age, sex, marital status, race/ethnicity,
prehospital living
setting, and discharge setting), hospitalization information (length of stay,
program interruptions, payer, onset date, rehabilitation impairment group,
International Classification of Diseases, Ninth Revision, codes for admitting
diagnosis, comorbidities), and Functional Status Information (FIM instrument
ratings at admission and discharge, FIM efficiency, and FIM gain). RESULTS:
Descriptive statistics from 303,594 patients showed length of stay decreasing
from a mean (SD) of 14.5 (7.9) days to 13.3 (5.5) days over the 8-yr study
period. FIM total admission and discharge ratings also decreased. Mean admission
ratings decreased from 72.5 (14.5) to 59.9 (15.7). Mean discharge ratings
decreased from 95.8 (18.1) to 86.0 (19.8). FIM change per day remained relatively
stable; mean for the entire sample was 2.1 (1.6). The percentage of persons
discharged to the community also decreased across the study period, ranging from
77.8% in 2000 to 70.0% in 2007. All results are likely influenced by various
policy changes affecting classification and/or documentation processes.
CONCLUSIONS: National rehabilitation data from persons with hip fracture in
2000-2007 indicate that patients are spending less time in inpatient
rehabilitation care than in previous years and are experiencing improvements in
functional independence during their stay. In addition, most patients are
discharged to the community after inpatient rehabilitation.

Langue : ANGLAIS