Inpatient rehabilitation outcome: a matter of diagnosis?

Maurizio Bejor,1 Francesca Chiara Ramella,1 Elena Dalla Toffola,1 Mario Comelli,2 Matteo Chiappedi31University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy; 2University of Pavia, Department of Brain Sciences, Medical Statistics Section, Pavia,...

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Autores principales:	Bejor M, Ramella FC, Dalla Toffola E, Comelli M, Chiappedi M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ebca1a9617e843f893ca2f40ec688d25
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spelling	oai:doaj.org-article:ebca1a9617e843f893ca2f40ec688d252021-12-02T05:36:48ZInpatient rehabilitation outcome: a matter of diagnosis?1176-63281178-2021https://doaj.org/article/ebca1a9617e843f893ca2f40ec688d252013-02-01T00:00:00Zhttp://www.dovepress.com/inpatient-rehabilitation-outcome-a-matter-of-diagnosis-a12246https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Maurizio Bejor,1 Francesca Chiara Ramella,1 Elena Dalla Toffola,1 Mario Comelli,2 Matteo Chiappedi31University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy; 2University of Pavia, Department of Brain Sciences, Medical Statistics Section, Pavia, Italy; 3Don Carlo Gnocchi ONLUS Foundation, Milan, ItalyBackground: 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&ndash;99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale &ndash; Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM&trade;) were evaluated at admission. The FIM&trade; 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 &plusmn; 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 &plusmn; 1.69. The average FIM&trade; rating was 79 &plusmn; 24.88 at admission, and 91.9 &plusmn; 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.Keywords: diagnosis, rehabilitation, inpatients, outcomeBejor MRamella FCDalla Toffola EComelli MChiappedi MDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 253-257 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Bejor M Ramella FC Dalla Toffola E Comelli M Chiappedi M Inpatient rehabilitation outcome: a matter of diagnosis?
description	Maurizio Bejor,1 Francesca Chiara Ramella,1 Elena Dalla Toffola,1 Mario Comelli,2 Matteo Chiappedi31University of Pavia, Department of Surgical, Resuscitative, Rehabilitative and Transplant Sciences, Pavia, Italy; 2University of Pavia, Department of Brain Sciences, Medical Statistics Section, Pavia, Italy; 3Don Carlo Gnocchi ONLUS Foundation, Milan, ItalyBackground: 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&ndash;99]) from postacute rehabilitation facilities were recruited. Primary diagnosis, comorbidity rating (Cumulative Illness Rating Scale &ndash; Geriatric version, CIRS-G) and functional impairment score (Functional Independence Measure, FIM&trade;) were evaluated at admission. The FIM&trade; 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 &plusmn; 24 days. CIRS-G showed an average comorbidity score for each patient of 4.45 &plusmn; 1.69. The average FIM&trade; rating was 79 &plusmn; 24.88 at admission, and 91.9 &plusmn; 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.Keywords: diagnosis, rehabilitation, inpatients, outcome
format	article
author	Bejor M Ramella FC Dalla Toffola E Comelli M Chiappedi M
author_facet	Bejor M Ramella FC Dalla Toffola E Comelli M Chiappedi M
author_sort	Bejor M
title	Inpatient rehabilitation outcome: a matter of diagnosis?
title_short	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_sort	inpatient rehabilitation outcome: a matter of diagnosis?
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/ebca1a9617e843f893ca2f40ec688d25
work_keys_str_mv	AT bejorm inpatientrehabilitationoutcomeamatterofdiagnosis AT ramellafc inpatientrehabilitationoutcomeamatterofdiagnosis AT dallatoffolae inpatientrehabilitationoutcomeamatterofdiagnosis AT comellim inpatientrehabilitationoutcomeamatterofdiagnosis AT chiappedim inpatientrehabilitationoutcomeamatterofdiagnosis
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Inpatient rehabilitation outcome: a matter of diagnosis?

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