Article

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.

Langue : ANGLAIS