Uniform Data System for Medical Rehabilitation, UB Foundation Activities, Inc, Buffalo, New York, USA.
Am J Phys Med Rehabil. 2011 Mar;90(3):177-89. doi: 10.1097/PHM.0b013e31820b18d7.
The aim of this study was to provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation because of a hip fracture.
A secondary data analysis of records 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 was performed. 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, onset date, rehabilitation impairment group, International Classification of Diseases, Ninth Revision, codes for admitting diagnosis, comorbidities), and Functional Status Information (FIM instrument ratings at admission and discharge, FIM efficiency, and FIM gain).
Descriptive statistics from 303,594 patients showed length of stay decreasing from a mean (SD) of 14.5 (7.9) days to 13.3 (5.5) days over the 8-yr study period. FIM total admission and discharge ratings also decreased. Mean admission ratings decreased from 72.5 (14.5) to 59.9 (15.7). Mean discharge ratings decreased from 95.8 (18.1) to 86.0 (19.8). FIM change per day remained relatively stable; mean for the entire sample was 2.1 (1.6). The percentage of persons discharged to the community also decreased across the study period, ranging from 77.8% in 2000 to 70.0% in 2007. All results are likely influenced by various policy changes affecting classification and/or documentation processes.
National rehabilitation data from persons with hip fracture in 2000-2007 indicate that patients are spending less time in inpatient rehabilitation care than in previous years and are experiencing improvements in functional independence during their stay. In addition, most patients are discharged to the community after inpatient rehabilitation.
本研究旨在为因髋部骨折接受住院康复治疗的大量全国性患者样本提供基准信息。
对 2000 年 1 月至 2007 年 12 月期间向美国医疗康复统一数据系统提供信息的 893 家美国医疗康复机构的记录进行了二次数据分析。分析的变量包括人口统计学信息（年龄、性别、婚姻状况、种族/民族、住院前生活环境和出院环境）、住院信息（住院时间、计划中断、支付方、发病日期、康复障碍组、国际疾病分类，第九修订版，用于入院诊断的代码，合并症）和功能状态信息（入院和出院时的 FIM 仪器评分、FIM 效率和 FIM 增益）。
来自 303594 名患者的描述性统计数据显示，住院时间从 8 年研究期间的 14.5（7.9）天缩短至 13.3（5.5）天。FIM 总入院和出院评分也有所下降。平均入院评分从 72.5（14.5）降至 59.9（15.7）。平均出院评分从 95.8（18.1）降至 86.0（19.8）。每天的 FIM 变化相对稳定；整个样本的平均值为 2.1（1.6）。在整个研究期间，出院到社区的人数也有所减少，从 2000 年的 77.8%降至 2007 年的 70.0%。所有结果都可能受到影响分类和/或文件记录流程的各种政策变化的影响。
2000-2007 年髋部骨折患者的全国康复数据表明，与前几年相比，患者在住院康复护理中的时间减少，在住院期间功能独立性有所提高。此外，大多数患者在住院康复后出院到社区。
