Deutsch Anne, Fiedler Roger C, Iwanenko Walter, Granger Carl V, Russell Carol F
Department of Rehabilitation Medicine, Center for Functional Assessment Research, Uniform Data System for Medical Rehabilitation, University at Buffalo, The State University of New York, USA.
Am J Phys Med Rehabil. 2003 Sep;82(9):703-11. doi: 10.1097/01.PHM.0000083665.58045.29.
This is the third annual report describing patients discharged from subacute rehabilitation programs in the United States that subscribe to the Uniform Data System for Medical Rehabilitation (UDSmr). The analysis included 39,562 complete records of first admission cases discharged alive from 180 facilities in 1999. Sixty-five percent of the patients were women, and most patients (91%) were white. Sixty-two percent of the patients were 75 yr of age or older. Before the impairment onset, 55% lived with at least one other person. The average total FIM (motor and cognitive) score change for all patients was 21.1 points, and when stratified by rehabilitation impairment group, average scores ranged from 18.3 for patients with pulmonary conditions to 25.3 for patients with a joint replacement. The percentage of patients discharged to a community-based setting ranged from 67% for patients with stroke to 94% for patients with a joint replacement. These data show that patients receiving care in subacute rehabilitation programs show measurable functional improvement and that a high percentage of patients are discharged to community-based settings.
这是第三份年度报告，描述了美国参与医学康复统一数据系统（UDSmr）的亚急性康复项目出院患者的情况。该分析纳入了1999年从180家机构出院的39562例首次入院且存活患者的完整记录。65%的患者为女性，大多数患者（91%）为白人。62%的患者年龄在75岁及以上。在功能障碍发作前，55%的患者至少与另一个人生活在一起。所有患者的平均总FIM（运动和认知）评分变化为21.1分，按康复障碍组分层时，平均评分范围从肺部疾病患者的18.3分到关节置换患者的25.3分。出院后进入社区环境的患者比例从脑卒中患者的67%到关节置换患者的94%不等。这些数据表明，在亚急性康复项目中接受治疗的患者显示出可测量的功能改善，并且有很高比例的患者出院后进入社区环境。
