Brain injury · 2026
Group differences in Functional-Independence-Measure outcomes for those discharged to home/community following inpatient-rehabilitation in a US national cohort of traumatic-brain-injury patients.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kushner David S, Johnson-Greene Doug, Miller Cheryl
Аннотация
OBJECTIVE: To examine group differences in Functional-Independence-Measure (FIM) outcomes associated with discharge to home/community following inpatient-rehabilitation-(IR) in a national cohort of Traumatic-Brain-Injury-(TBI) patients in the United States.
DESIGN: Retrospective-observational-cohort-study of 21,009 TBI patients admitted to IR 1/1/2015-9/30/2019, comparing discharge-destinations (community/home, skilled-nursing-facility-[SNF] or return-to-acute-care) by age, sex, and motor and cognitive FIM-scores.
RESULTS: About 76% of TBI patients were discharged to home/community, mean-age = 71; average-LOS = 13.3 days, average-total-FIM-gain = 41; 11% discharged to SNFs, mean-age = 75, average-LOS = 18.6 days, total-FIM-gain = 30.7; 13% discharged back-to-acute-care-hospitals, mean-age = 68, LOS = 8.8 days, total-FIM-gain = 14.5. Community-discharge was associated with younger-age-(p < 0.001; F = 116.8), greater total-FIM-gain-mean of 40.65-(F = 3674; p < 0.001), and LOS-of-13.3 days-(F = 940; p < 0.001). Discharge to community was associated with greater FIM-gains for: bed/chair/wheelchair-transfers (F = 2378; p < 0.001), walking/wheelchair-locomotion (F = 3030; p < 0.001), bladder management/sphincter-control (F = 577.6; p < 0.001), and cognitive-skills-subtotals (F = 630.8; p < 0.001). Examining FIM discharge scores bed/chair/wheelchair transfers (F = 3210; p < 0.001), walking/wheelchair-locomotion (F = 7735; p < 0.001), bladder management/sphincter-control (F = 57852; p < 0.001), and cognitive-skills-subtotals (F = 13537; p < 0.001) were all associated with home/community discharge. Eta-square values show the greatest effect for discharge FIM walking/wheelchair-locomotion (.35) and for discharge FIM Bed/chair/wheelchair transfers (.32).
CONCLUSIONS: FIM Gains, age, and LOS appear to have smaller effects on discharge disposition than Discharge FIM scores. Of the outcome measures examined, discharge FIM for walking/wheelchair-locomotion and bed/chair/wheelchair transfers-showed the largest group differences associated with discharge to the community followed by Discharge-FIM for bladder-management/sphincter control and cognitive-skills-subtotal score.
DESIGN: Retrospective-observational-cohort-study of 21,009 TBI patients admitted to IR 1/1/2015-9/30/2019, comparing discharge-destinations (community/home, skilled-nursing-facility-[SNF] or return-to-acute-care) by age, sex, and motor and cognitive FIM-scores.
RESULTS: About 76% of TBI patients were discharged to home/community, mean-age = 71; average-LOS = 13.3 days, average-total-FIM-gain = 41; 11% discharged to SNFs, mean-age = 75, average-LOS = 18.6 days, total-FIM-gain = 30.7; 13% discharged back-to-acute-care-hospitals, mean-age = 68, LOS = 8.8 days, total-FIM-gain = 14.5. Community-discharge was associated with younger-age-(p < 0.001; F = 116.8), greater total-FIM-gain-mean of 40.65-(F = 3674; p < 0.001), and LOS-of-13.3 days-(F = 940; p < 0.001). Discharge to community was associated with greater FIM-gains for: bed/chair/wheelchair-transfers (F = 2378; p < 0.001), walking/wheelchair-locomotion (F = 3030; p < 0.001), bladder management/sphincter-control (F = 577.6; p < 0.001), and cognitive-skills-subtotals (F = 630.8; p < 0.001). Examining FIM discharge scores bed/chair/wheelchair transfers (F = 3210; p < 0.001), walking/wheelchair-locomotion (F = 7735; p < 0.001), bladder management/sphincter-control (F = 57852; p < 0.001), and cognitive-skills-subtotals (F = 13537; p < 0.001) were all associated with home/community discharge. Eta-square values show the greatest effect for discharge FIM walking/wheelchair-locomotion (.35) and for discharge FIM Bed/chair/wheelchair transfers (.32).
CONCLUSIONS: FIM Gains, age, and LOS appear to have smaller effects on discharge disposition than Discharge FIM scores. Of the outcome measures examined, discharge FIM for walking/wheelchair-locomotion and bed/chair/wheelchair transfers-showed the largest group differences associated with discharge to the community followed by Discharge-FIM for bladder-management/sphincter control and cognitive-skills-subtotal score.