Article

The aim of this study was to present 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, or debility. DESIGN: This is an
analysis of secondary data 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. Aggregate variables reported include demographic information,
social situation, and functional status (Functional Independence Measure
instrument ratings at admission, discharge, and follow-up). Follow-up data were
obtained 80-180 days after discharge through telephone interviews by trained
clinical staff. RESULTS: The final sample included 287,104 patients with
follow-up information. The median time to follow-up was 95 days. Overall, more
than 90% of the patients within each impairment group were living in the
community at follow-up. Follow-up Functional Independence Measure total ratings
were stable to slightly increased over time. Change scores (discharge to
follow-up) increased in all six groups. The mean Functional Independence Measure
gains from discharge to follow-up, as a percentage of mean gains from admission
to discharge, varied by impairment category: 46% for spinal cord injury to 71%
for lower extremity fracture. Locomotion yielded the lowest ratings at all three
assessments within each of the six impairment groups. CONCLUSIONS: The follow-up
data from the national sample of patients discharged from inpatient
rehabilitation indicate that gains in mean functional independence scores from
both admission to discharge and discharge to follow-up gradually increased from
2002 to 2010. At follow-up, more than nine of ten patients in all six groups are
living in the community.

Langue : ANGLAIS