The uniform data system for medical rehabilitation: Report of patients with stroke discharged from comprehensive medical programs in 2000-2007

Anne Frances Deutsch; Carl V Granger; Samuel J Markello; James E Graham; Anne Frances Deutsch; Kenneth J Ottenbacher

The uniform data system for medical rehabilitation

Report of patients with stroke discharged from comprehensive medical programs in 2000-2007

Granger, C. V., Markello, S. J., Graham, J. E., Deutsch, A., & Ottenbacher, K. J. (2009). The uniform data system for medical rehabilitation: Report of patients with stroke discharged from comprehensive medical programs in 2000-2007. American Journal of Physical Medicine and Rehabilitation, 88(12), 961-972. https://doi.org/10.1097/PHM.0b013e3181c1ec38, https://doi.org/10.1097/PHM.0b013e3181c1ec38

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Abstract

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.