The Uniform Data System for Medical Rehabilitation: report of patients with debility discharged from inpatient rehabilitation programs in 2000-2010.
The Uniform Data System for Medical Rehabilitation: report of patients with debility discharged from inpatient rehabilitation programs in 2000-2010.
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DOI：
10.1097/phm.0b013e31827441bc
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发表时间：
2013-01
影响因子：
3
通讯作者：
Ottenbacher KJ
中科院分区：
文献类型：
--
作者：
Galloway RV;Granger CV;Karmarkar AM;Graham JE;Deutsch A;Niewczyk P;DiVita MA;Ottenbacher KJ
Benchmark data are provided for a national sample of patients who received inpatient rehabilitation for debility. Patients with debility from 830 inpatient rehabilitation facilities in the United States contributing to the Uniform Data System for Medical Rehabilitation from 2000 – 2010 were examined. Demographic information (age, marital status, gender, race/ethnicity, pre-hospital living setting, and discharge setting), hospital information (length of stay [LOS], program interruptions, payer, codes for admitting diagnosis), and functional status (Functional Independence Measure [FIM®] instrument ratings at admission and discharge, FIM change and FIM efficiency) were analyzed. 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). FIM total discharge ratings decreased from 95.0 (19.7) to 88.2 (19.8). Mean (SD) LOS decreased from 14.3 (9.1) to 12.1 (6.2) days. 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 cases. Policy changes affecting classification, reimbursement, and/or documentation processes may have influenced results. National data indicate the number of debility cases is increasing with diverse composition of etiologic diagnoses. A high proportion of these patients discharge to acute care compared to other impairment groups.
