A Five-Year Review of Associations Among FIM Scores, Age, and Comorbidity with Discharge Disposition and Functional Efficiency Following Stroke Rehabilitation

2.50
Hdl Handle:
http://hdl.handle.net/10755/159575
Type:
Presentation
Title:
A Five-Year Review of Associations Among FIM Scores, Age, and Comorbidity with Discharge Disposition and Functional Efficiency Following Stroke Rehabilitation
Abstract:
A Five-Year Review of Associations Among FIM Scores, Age, and Comorbidity with Discharge Disposition and Functional Efficiency Following Stroke Rehabilitation
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Bieber, Patti
Contact Address:Graduate School of Nursing, 2652 59th St NW,, Rochester, MN, 55901, USA
Co-Authors:Kari Bottemiller
Stroke is the leading cause of neurological disability and long-term disability in the US. Despite extensive literature describing the association of rehabilitation FIM scores with discharge disposition and functional gains, the emphasis has been on persons at the high and low ends of FIM scores. Little is described about specific FIM items, gains in functional independence, or the influence of age and comorbidities in relation to persons with mid-range scores. An improved understanding of the association of the full range of FIM scores and specific FIM items associated with discharge disposition and functional improvements will assist with more effective discharge planning. The purposes of this retrospective study were to 1) describe admission/discharge FIM total, subscale, and specific item scores by discharge disposition for ischemic and hemorrhagic events; 2) determine whether total FIM, subscale, or specific item scores at admission or discharge, age, or comorbidity were associated with discharge disposition; 3) identify whether a change in FIM total, subscale, or 18 individual item scores between admission and discharge, age, or comorbidity were associated with discharge disposition; and 4) examine the FIM efficiency (change/length of stay). The sample included 514 persons with ischemic stroke and 255 persons with hemorrhagic stroke admitted to a 47-bed rehabilitation unit from 1997-2001. FIM scores were retrieved from a database of FIM data obtained by nurses trained in FIM assessments, and length of stay and comorbidity data from an administrative database. Analyses are being completed at time of this submission and include descriptive statistics, logistic regressions, and estimate of functional efficiency ratio. The results of this study are likely to provide important information that may assist in discharge planning for persons with stroke, and provide additional insights into the poorly described midrange FIM scores. AN: MN030004
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Five-Year Review of Associations Among FIM Scores, Age, and Comorbidity with Discharge Disposition and Functional Efficiency Following Stroke Rehabilitationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159575-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Five-Year Review of Associations Among FIM Scores, Age, and Comorbidity with Discharge Disposition and Functional Efficiency Following Stroke Rehabilitation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bieber, Patti</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Graduate School of Nursing, 2652 59th St NW,, Rochester, MN, 55901, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kari Bottemiller</td></tr><tr><td colspan="2" class="item-abstract">Stroke is the leading cause of neurological disability and long-term disability in the US. Despite extensive literature describing the association of rehabilitation FIM scores with discharge disposition and functional gains, the emphasis has been on persons at the high and low ends of FIM scores. Little is described about specific FIM items, gains in functional independence, or the influence of age and comorbidities in relation to persons with mid-range scores. An improved understanding of the association of the full range of FIM scores and specific FIM items associated with discharge disposition and functional improvements will assist with more effective discharge planning. The purposes of this retrospective study were to 1) describe admission/discharge FIM total, subscale, and specific item scores by discharge disposition for ischemic and hemorrhagic events; 2) determine whether total FIM, subscale, or specific item scores at admission or discharge, age, or comorbidity were associated with discharge disposition; 3) identify whether a change in FIM total, subscale, or 18 individual item scores between admission and discharge, age, or comorbidity were associated with discharge disposition; and 4) examine the FIM efficiency (change/length of stay). The sample included 514 persons with ischemic stroke and 255 persons with hemorrhagic stroke admitted to a 47-bed rehabilitation unit from 1997-2001. FIM scores were retrieved from a database of FIM data obtained by nurses trained in FIM assessments, and length of stay and comorbidity data from an administrative database. Analyses are being completed at time of this submission and include descriptive statistics, logistic regressions, and estimate of functional efficiency ratio. The results of this study are likely to provide important information that may assist in discharge planning for persons with stroke, and provide additional insights into the poorly described midrange FIM scores. AN: MN030004 </td></tr></table>en_GB
dc.date.available2011-10-26T22:08:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:08:30Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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