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Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset

OBJECTIVE: To examine the outcome of inpatient rehabilitation for cerebral palsy (CP), using the Australian Rehabilitation Outcomes Center (AROC) database. MATERIALS AND METHODS: De-identified data from the AROC database was analyzed for all rehabilitation admissions during 2003 – 2008, using four c...

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Autores principales: Amatya, Bhasker, Khan, Fary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123005/
https://www.ncbi.nlm.nih.gov/pubmed/21716838
http://dx.doi.org/10.4103/0976-3147.80097
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author Amatya, Bhasker
Khan, Fary
author_facet Amatya, Bhasker
Khan, Fary
author_sort Amatya, Bhasker
collection PubMed
description OBJECTIVE: To examine the outcome of inpatient rehabilitation for cerebral palsy (CP), using the Australian Rehabilitation Outcomes Center (AROC) database. MATERIALS AND METHODS: De-identified data from the AROC database was analyzed for all rehabilitation admissions during 2003 – 2008, using four classes for the functional level. The outcomes included: Functional Independence Measure (FIM) scores, FIM efficiency, hospital length of stay (LOS), and discharge destination. RESULTS: Of 141 case episodes 56.7% were female, mean age 48.5 years, 87.2% were discharged to the community and 64.5% (n = 91) were in the lowest functional classes (217, 218, and 219). The majority of CP patients were treated in the public hospital system (66.7% versus 33.3%), and had a slightly longer LOS compared with those treated in private facilities (22.6 versus 17.9 days, mean difference - 4.7 days, 95% CI - 9.2 to - 0.2, P = 0.041). The FIM for all classes (216 – 218) showed significant functional improvement during the admission (P = 0.001). As expected those in the most functionally impaired classes showed most change (FIM change: 16.6 in class 217, 15.3 in class 218). FIM efficiency was the highest in classes 217 compared to the other classes. The year-to-year trend demonstrated a mixed pattern for hospital LOS and was not significant (P = 0.492). CONCLUSION: The AROC dataset is a valuable research tool for describing rehabilitation outcomes. However, more specific information needs to be collected alongside the core AROC data, to allow a more meaningful evaluation of outcomes for CP rehabilitation.
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spelling pubmed-31230052011-06-28 Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset Amatya, Bhasker Khan, Fary J Neurosci Rural Pract Original Article OBJECTIVE: To examine the outcome of inpatient rehabilitation for cerebral palsy (CP), using the Australian Rehabilitation Outcomes Center (AROC) database. MATERIALS AND METHODS: De-identified data from the AROC database was analyzed for all rehabilitation admissions during 2003 – 2008, using four classes for the functional level. The outcomes included: Functional Independence Measure (FIM) scores, FIM efficiency, hospital length of stay (LOS), and discharge destination. RESULTS: Of 141 case episodes 56.7% were female, mean age 48.5 years, 87.2% were discharged to the community and 64.5% (n = 91) were in the lowest functional classes (217, 218, and 219). The majority of CP patients were treated in the public hospital system (66.7% versus 33.3%), and had a slightly longer LOS compared with those treated in private facilities (22.6 versus 17.9 days, mean difference - 4.7 days, 95% CI - 9.2 to - 0.2, P = 0.041). The FIM for all classes (216 – 218) showed significant functional improvement during the admission (P = 0.001). As expected those in the most functionally impaired classes showed most change (FIM change: 16.6 in class 217, 15.3 in class 218). FIM efficiency was the highest in classes 217 compared to the other classes. The year-to-year trend demonstrated a mixed pattern for hospital LOS and was not significant (P = 0.492). CONCLUSION: The AROC dataset is a valuable research tool for describing rehabilitation outcomes. However, more specific information needs to be collected alongside the core AROC data, to allow a more meaningful evaluation of outcomes for CP rehabilitation. Medknow Publications 2011 /pmc/articles/PMC3123005/ /pubmed/21716838 http://dx.doi.org/10.4103/0976-3147.80097 Text en © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Amatya, Bhasker
Khan, Fary
Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title_full Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title_fullStr Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title_full_unstemmed Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title_short Rehabilitation for cerebral palsy: Analysis of the Australian rehabilitation outcome dataset
title_sort rehabilitation for cerebral palsy: analysis of the australian rehabilitation outcome dataset
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123005/
https://www.ncbi.nlm.nih.gov/pubmed/21716838
http://dx.doi.org/10.4103/0976-3147.80097
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