Article

OBJECTIVE: To provide benchmarking information from a large national sample of
patients receiving inpatient rehabilitation after lower limb joint replacement.
DESIGN: Secondary data analysis from 893 medical rehabilitation facilities
located in the United States that contributed information to the Uniform Data
System for Medical Rehabilitation from January 2000 through December 2007.
Variables analyzed included demographic information (age, sex, marital status,
race/ethnicity, prehospital living setting, discharge setting), hospitalization
information (length of stay, program interruptions, payer, onset date,
rehabilitation impairment group, International Classification of Diseases, 9th
revision codes for admitting diagnosis, comorbidities), and functional status
information (FIM instrument ["FIM"] ratings at admission and discharge, FIM
efficiency, FIM gain). RESULTS: Descriptive statistics from 705,345 patients
showed an overall mean length of stay of 8.9 (+/-4.7) days.
FIM total admission
and discharge ratings declined during the 8-yr study period. Mean admission
ratings decreased from 83.5 (+/-11.3) to 73.2 (+/-12.9). Mean discharge ratings
decreased from 108.4 (+/-11.0) to 101.7 (+/-12.9). Conversely, mean FIM change
increased from 24.9 (+/-9.2) to 28.6 (+/-12.2). The percent of persons discharged
to the community decreased from 94.5% to 91.9%. All results are likely to be
influenced by various policy changes affecting classification or documentation
processes or both. CONCLUSIONS: National rehabilitation data from persons with lower limb joint replacement in 2000-2007 indicate that inpatient rehabilitation
lengths of stay have remained relatively stable and that patients are
experiencing improvements in functional independence during their stay. In addition, more than 9 of 10 patients are discharged to community settings after
inpatient rehabilitation.

Langue : ANGLAIS