Article

PURPOSE: To examine the FIM as an outcome measure at follow-up following
discharge from inpatient rehabilitation. METHODS: Secondary analysis of the
National Rehabilitation Reporting System (NRS) data from 13 facilities across
Canada that collected follow-up data between 2001 and 2006. The study sample
included all NRS records with a hospital length of stay of at least 3 days, for
individuals 18 years and older. Outcomes included: mean total, motor and
cognitive FIM scores at admission, discharge, and follow-up; change in FIM scores
from admission to discharge and from discharge to follow-up; correlation between
FIM scores at admission, discharge and follow-up, and predictors of the change in
FIM scores between discharge and follow-up. RESULTS: The majority of the change
in FIM scores is seen between admission and discharge with the higher FIM scores
maintained, if not increased slightly, between discharge and follow-up. Discharge
and follow-up total FIM scores are highly correlated indicating that collection
of the follow-up FIM may not provide additional information that justifies the
expense of data collection after a patient has been discharged from inpatient
rehabilitation. CONCLUSIONS: The use of more appropriate rehabilitation follow-up
outcomes needs to be considered.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS