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Inpatient rehabilitation outcome: a matter of diagnosis?
BACKGROUND: Patients with comorbidities are becoming more and more common in Italian rehabilitative wards. These comorbidities are considered a major problem for inpatient rehabilitation, due to the fact that they cause longer lengths of stay, higher costs, and lower functional results. METHODS: To...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579460/ https://www.ncbi.nlm.nih.gov/pubmed/23550109 http://dx.doi.org/10.2147/NDT.S39922 |
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author | Bejor, Maurizio Ramella, Francesca Chiara Toffola, Elena Dalla Comelli, Mario Chiappedi, Matteo |
author_facet | Bejor, Maurizio Ramella, Francesca Chiara Toffola, Elena Dalla Comelli, Mario Chiappedi, Matteo |
author_sort | Bejor, Maurizio |
collection | PubMed |
description | BACKGROUND: Patients with comorbidities are becoming more and more common in Italian rehabilitative wards. These comorbidities are considered a major problem for inpatient rehabilitation, due to the fact that they cause longer lengths of stay, higher costs, and lower functional results. METHODS: To investigate the possible relationships between comorbidity, functional impairment, age, and type of discharge in patients hospitalized in postacute rehabilitation facilities, we planned an observational study. A total of 178 consecutive inpatients (average age: 78 years [range: 39–99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale – Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM™) were evaluated at admission. The FIM™ rating was also assessed at hospital discharge. RESULTS: A total of 178 of the 199 enrolled patients completed the rehabilitation treatment (89.4%). The average length of stay was 46 ± 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 ± 1.69. The average FIM™ rating was 79 ± 24.88 at admission, and 91.9 ± 25.7 at discharge. Diagnosis at admission (grouped according to the International Classification of Diseases 9-CM) seemed to correlate with functional results, since lower rehabilitative efficiency was obtained for patients who had a history of stroke. CONCLUSION: The number and type of comorbidities (CIRS-G) in rehabilitation inpatients do not seem to affect functional outcomes of treatment. The determining factor for a lower level of functional recovery seems to be the diagnosis at admission. |
format | Online Article Text |
id | pubmed-3579460 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35794602013-02-27 Inpatient rehabilitation outcome: a matter of diagnosis? Bejor, Maurizio Ramella, Francesca Chiara Toffola, Elena Dalla Comelli, Mario Chiappedi, Matteo Neuropsychiatr Dis Treat Original Research BACKGROUND: Patients with comorbidities are becoming more and more common in Italian rehabilitative wards. These comorbidities are considered a major problem for inpatient rehabilitation, due to the fact that they cause longer lengths of stay, higher costs, and lower functional results. METHODS: To investigate the possible relationships between comorbidity, functional impairment, age, and type of discharge in patients hospitalized in postacute rehabilitation facilities, we planned an observational study. A total of 178 consecutive inpatients (average age: 78 years [range: 39–99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale – Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM™) were evaluated at admission. The FIM™ rating was also assessed at hospital discharge. RESULTS: A total of 178 of the 199 enrolled patients completed the rehabilitation treatment (89.4%). The average length of stay was 46 ± 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 ± 1.69. The average FIM™ rating was 79 ± 24.88 at admission, and 91.9 ± 25.7 at discharge. Diagnosis at admission (grouped according to the International Classification of Diseases 9-CM) seemed to correlate with functional results, since lower rehabilitative efficiency was obtained for patients who had a history of stroke. CONCLUSION: The number and type of comorbidities (CIRS-G) in rehabilitation inpatients do not seem to affect functional outcomes of treatment. The determining factor for a lower level of functional recovery seems to be the diagnosis at admission. Dove Medical Press 2013 2013-02-18 /pmc/articles/PMC3579460/ /pubmed/23550109 http://dx.doi.org/10.2147/NDT.S39922 Text en © 2013 Bejor et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Bejor, Maurizio Ramella, Francesca Chiara Toffola, Elena Dalla Comelli, Mario Chiappedi, Matteo Inpatient rehabilitation outcome: a matter of diagnosis? |
title | Inpatient rehabilitation outcome: a matter of diagnosis? |
title_full | Inpatient rehabilitation outcome: a matter of diagnosis? |
title_fullStr | Inpatient rehabilitation outcome: a matter of diagnosis? |
title_full_unstemmed | Inpatient rehabilitation outcome: a matter of diagnosis? |
title_short | Inpatient rehabilitation outcome: a matter of diagnosis? |
title_sort | inpatient rehabilitation outcome: a matter of diagnosis? |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579460/ https://www.ncbi.nlm.nih.gov/pubmed/23550109 http://dx.doi.org/10.2147/NDT.S39922 |
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