Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation
Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation
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DOI：
10.1001/jama.292.14.1687
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发表时间：
2004-10-13
影响因子：
120.7
通讯作者：
Granger, CV
中科院分区：
文献类型：
--
作者：
Ottenbacher, KJ;Smith, PM;Granger, CV
内容报销的变化缩短了接受住院医疗康复的患者的住院时间。LOS下降对功能状态、生活环境和死亡率的影响尚不清楚。目的研究LOS、功能状态、生活环境、设计回顾性队列研究，从1994年到2001年，使用提交给医疗康复统一数据系统的信息。康复医院和中心分布在美国48个州。共148807例患者记录从5个损害组（中风，脑功能障碍，脊髓功能障碍，其他神经系统疾病，骨科条件）进行了检查。患者的平均年龄为67.8岁（标准差，15.8）;样本为59%的女性和81%的非西班牙裔白色。主要结果测量出院情况，随访生活情况，功能状态的变化和死亡率。结果中位LOS从20天下降到12天（P
Content Changes in reimbursement have reduced length of stay (LOS) for patients receiving inpatient medical rehabilitation. The impact of decreased LOS on functional status, living setting, and mortality is not known.Objective To examine changes in LOS, functional status, living setting, and mortality in patients completing inpatient rehabilitation.Design Retrospective cohort study from 1994 through 2001 using information submitted to the Uniform Data System for Medical Rehabilitation.Setting and Participants Data were analyzed from 744 inpatient medical rehabilitation hospitals and centers located in 48 US states. A total of 148807 patient records from 5 impairment groups (stroke, brain dysfunction, spinal cord dysfunction, other neurologic conditions, and orthopedic conditions) were examined. Patients' mean age was 67.8 (SD, 15.8) years; the sample was 59% female and 81% non-Hispanic white.Main Outcome Measures Discharge setting, follow-up living setting, change in functional status, and mortality.Results Median LOS decreased from 20 to 12 days (P