Article

OBJECTIVE: To provide benchmarking information for a large national sample of
patients receiving inpatient rehabilitation after a stroke.
DESIGN: Analysis of
secondary data from 893 medical rehabilitation facilities located in the United
States and contributing information to the Uniform Data System for Medical
Rehabilitation from 2000 to 2007. RESULTS: Variables analyzed included
demographic information (age, sex, marital status, race/ethnicity, prehospital
living setting, and discharge setting), hospitalization information (length of
stay, program interruptions, payer, event onset date, rehabilitation impairment
group, International Classification of Diseases-9 codes for the admitting
diagnosis, and comorbidities), and functional status information (FIM(R)
instrument ["FIM"] ratings at admission and discharge, FIM efficiency, and FIM
gain). Descriptive statistics revealed that the length of stay decreased from a
mean of 19.6 (+/-12.8) days to 16.5 (+/-9.8) days during the 8-yr study period.
FIM instrument admission and discharge ratings also decreased. Mean admission
ratings decreased from 62.5 (+/-20.1) to 55.1 (+/-19.3), and mean discharge
ratings decreased from 86.4 (+/-23.6) to 79.8 (+/-24.0). FIM change remained
relatively stable; the mean for the entire sample was 23.9 (+/-14.8). The percent
of persons discharged to the community ranged from 75.8% in 2000 to 69.3% in
2007. All results are likely affected by changes in the definition for program
interruption and procedures for FIM data collection.
CONCLUSION: Uniform Data
System for Medical Rehabilitation data from persons with stroke receiving
rehabilitation from 2000 to 2007 indicate patients are showing improvement in
functional independence during their rehabilitation stay, and a large percentage
are discharged to community settings.

Langue : ANGLAIS