Chen Christine C, Heinemann Allen W, Granger Carl V, Linn Richard T
Rehabilitation Institute of Chicago, 345 E. Superior Street, Chicago, IL 60611, USA.
Arch Phys Med Rehabil. 2002 Nov;83(11):1514-23. doi: 10.1053/apmr.2002.35107.
To document patient, program characteristics, and therapy service provision in subacute rehabilitation across 3 types of facilities that provide subacute rehabilitation, to examine the determinants of therapy intensity, and to evaluate the contribution of rehabilitation services to functional gains.
A retrospective study linking administrative billing data and patients' functional assessment records.
Twenty facilities part of the Uniform Data System for Medical Rehabilitation (UDSMR) subacute database
A total of 1976 billing records of patients with stroke, orthopedic, and debility impairments, discharged in 1996 and 1997, were retrieved and linked with the FIM trade mark instrument ratings from UDSMR subacute database.
Not applicable.
Total therapy intensity and Rasch-transformed FIM domain gains (ie, gains in self-care, mobility, cognition).
Therapy intensity was mostly determined by impairment and facility type, although variances explained by the predictors were small. Patients in all 3 impairment groups made functional gains; gains were related weakly, although significantly, to therapy intensity and rehabilitation duration after controlling for other variables.
The provision of rehabilitation therapies varied across facilities. Skilled nursing facilities with subacute rehabilitation units tended to provide more therapies than subacute units in acute or rehabilitation hospitals.
记录在提供亚急性康复服务的3种不同类型机构中的患者、项目特征及治疗服务提供情况，研究治疗强度的决定因素，并评估康复服务对功能改善的作用。
一项将行政计费数据与患者功能评估记录相联系的回顾性研究。
20家机构作为医疗康复统一数据系统（UDSMR）亚急性数据库的一部分
检索出1996年和1997年出院的1976例患有中风、骨科疾病和身体虚弱损伤患者的计费记录，并将其与UDSMR亚急性数据库中的FIM商标工具评分相联系。
不适用。
总治疗强度及拉施转换后的FIM领域改善情况（即自我护理、活动能力、认知方面的改善）。
治疗强度主要由损伤类型和机构类型决定，尽管预测因素所解释的方差较小。所有3个损伤组的患者均有功能改善；在控制其他变量后，改善情况与治疗强度和康复时长呈弱相关，但具有显著相关性。
不同机构提供的康复治疗有所不同。设有亚急性康复单元的熟练护理机构往往比急性或康复医院的亚急性单元提供更多治疗。
