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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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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. |
format | Online Article Text |
id | pubmed-3123005 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
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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