Functional gains and therapy intensity during subacute rehabilitation: A study of 20 facilities

Archives of Physical Medicine and Rehabilitation

Volumn 83, Issue 11, 2002, Pages 1514-1523

  Chen, Christine C ^a,b   Heinemann, Allen W ^a,b   Granger, Carl V ^c   Linn, Richard T ^c  

^a REHABILITATION INSTITUTE OF CHICAGO   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

^c UNIVERSITY AT BUFFALO   (United States)

Author keywords

Cerebrovascular disorders; Orthopedics; Rehabilitation; Subacute care; Treatment outcome

Indexed keywords

ADULT; AGED; ARTICLE; CEREBROVASCULAR DISEASE; DATA BASE; DISABILITY; FEMALE; FRACTURE; FUNCTIONAL ASSESSMENT; HEALTH CARE FACILITY; HEALTH MAINTENANCE ORGANIZATION; HOSPITAL BILLING; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICARE; NURSING HOME; ORTHOPEDIC SURGERY; OUTCOMES RESEARCH; PATIENT CODING; RATING SCALE; REHABILITATION MEDICINE; STROKE; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT;

EID: 0036845243     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1053/apmr.2002.35107     Document Type: Article

References (44)

1. Gornick M, Hall MJ. Trends in Medicare use of post-hospital care. Health Care Financ Rev 1988;9(Suppl):27-38.
2. Gage B. Impact of the BBA on post-acute utilization. Health Care Financ Rev 1999;20:103-26.
3. Kramer AM, Steiner JF, Schlenker RE, et al. Outcomes and costs after hip fracture and stroke: A comparison of rehabilitation settings. JAMA 1997;277:396-404.
4. Keith RA, Wilson DB, Gutierrez P. Acute and subacute rehabilitation for stroke: A comparison. Arch Phys Med Rehabil 1995;76:495-500.
5. Murray PK, Singer ME, Fortinsky R, Russo L, Cebul RD. Rapid growth of rehabilitation services in traditional community-based nursing homes. Arch Phys Med Rehabil 1999;80:372-8.
6. Steib PA. Survey confirms long-term care a difficult place to work. OT Week 1999;Aug 12:8-9.
7. Ottenbacher KJ, Jannell S. The results of clinical trials in stroke rehabilitation research. Arch Neurol 1993;50:37-44.
8. Indredavik B, Bakke F, Solberg R, Rokseth R, Haheim LL, Holme I. Benefit of a stroke unit: A randomized controlled trial. Stroke 1991;22:1026-31.
9. Kalra L, Dale P, Crome P. Improving stroke rehabilitation. A controlled study. Stroke 1993;24:1462-7.
10. Indredavik B, Bakke F, Slordahl SA, Rokseth R, Haheim LL. Stroke unit treatment improves long-term quality of life: A randomized controlled trial. Stroke 1998;29:895-9.
11. Indredavik B, Slordahl SA, Bakke F, Rokseth R, Haheim LL. Stroke unit treatment. Long-term effects. Stroke 1997;28:1861-6.
12. World Health Organization. International Classification of Impairment, Activities, and Participation. Geneva: WHO; 1997.
13. Karla L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke 1994;25:821-5.
14. Kalra L. Does age affect benefits of stroke unit rehabilitation? Stroke 1994;25:346-51.
15. Kalra L, Eade J. Role of stroke rehabilitation units in managing severe disability after stroke. Stroke 1995;26:2031-4.
16. Osberg JS, DeJong G, Haley SM, Seward ML, McGinnis GE, Germaine J. Predicting long-term outcome among post-rehabilitation stroke patients. Am J Phys Med Rehabil 1988;67:94-103.
17. Paolucci S, Antonucci G, Grazia G, et al. Early versus delayed inpatient stroke rehabilitation: A matched comparison conducted in Italy. Arch Phys Med Rehabil 2000;81:695-700.
18. Ronning OM, Guldvog B. Outcome of subacute stroke rehabilitation: A randomized controlled trial. Stroke 1998;29:779-84.
19. Stineman MG. Measuring case mix, severity, and complexity in geriatric patients undergoing rehabilitation. Med Care 1997;35:JS90-105.
20. Thommessen B, Bautz-Holter E, Laake K. Predictors of outcome of rehabilitation of elderly stroke patients in a geriatric ward. Clin Rehabil 1999;13:123-8.
21. Ween JE, Alexander MP, D'Esposito M, Roberts M. Factors predictive of stroke outcome in a rehabilitation setting. Neurology 1996;47:388-92.
22. Lofgren B, Nyberg L, Osterlind PO, Gustafson Y. In-patient rehabilitation after stroke: Outcome and factors associated with improvement. Disabil Rehabil 1998;20:55-61.
23. Goldstein FC, Strasser DC, Woodard JL, Roberts VJ. Functional outcome of cognitively impaired hip fracture patients on a geriatric rehabilitation unit. J Am Geriatr Soc 1997;45:35-42.
24. Heruti RJ, Lusky A, Barell V, Ohry A, Adunsky A. Cognitive status at admission: Does it affect the rehabilitation outcome of elderly patients with hip fracture? Arch Phys Med Rehabil 1999;80:432-6.
25. Munin MC, Kwoh CK, Glynn N, Crossett L, Rubash HE. Predicting discharge outcome after elective hip and knee arthroplasty. Am J Phys Med Rehabil 1995;74:294-301.
26. Kane RL, Chen Q, Blewett LA, Sangl J. Do rehabilitative nursing homes improve the outcomes of care? J Am Geriatr Soc 1996;44:545-54.
27. Kane RL, Chen Q, Finch M, Blewett L, Burns R, Moskowitz M. Functional outcomes of posthospital care for stroke and hip fracture patients under Medicare. J Am Geriatr Soc 1998;46:1525-33.
28. Iwanenko W, Fiedler RC, Granger CV. Uniform Data System for Medical Rehabilitation: Report of first admissions to subacute rehabilitation for 1995, 1996 and 1997. Am J Phys Med Rehabil 1999;78:384-8.
29. Keith RA. Treatment strength in rehabilitation. Arch Phys Med Rehabil 1997;78:1298-304.
30. Heinemann AW, Hamilton BB, Linacre JM, Wright BD, Granger CV. Functional status and therapeutic intensity during inpatient rehabilitation. Am J Phys Med Rehabil 1995;74:315-25.
31. Heinemann AW, Hamilton BB. Relation of rehabilitation intervention to functional outcome. J Rehabil Outcome Meas 2000;4(4):18-21.
32. Heinemann, AW, Chen CC. Effectiveness of Occupational Therapy Services: Final Report. Chicago: Rehabilitation Institute of Chicago; Oct 1999.
33. Guide for the Uniform Data Set for Medical Rehabilitation (Adult FIM™), Version 5.1. Buffalo (NY): State Univ New York; 1997.
34. Wright BD, Masters GN. Rating Scale Analysis: Rasch Measurement. Chicago: Mesa Pr; 1982.
35. Linacre, JM, Wright, BD. WINSTEPS for Windows: Rasch Analysis Computer Program. Chicago: Mesa Pr; 1999.
36. Bode RK, Heinemann AW, Chen D. Measuring the impairment consequences of spinal cord injury. Am J Phys Med Rehabil 1999;78:582-94.
37. Heinemann AW, Bode R, Cichowski KC, Kan E. Measuring patient satisfaction with medical rehabilitation. J Rehabil Outcomes Meas 1997;1:52-65.
38. Heinemann AW, Linacre JM, Wright BD, Hamilton BB, Granger CV. Relationships between impairment and physical disability as measured by the Functional Independence Measure. Arch Phys Med Rehabil 1993;74:566-73.
39. Linacre JM, Heinemann AW, Wright BD, Granger CV, Hamilton BB. The structure and stability of the functional independence measure. Arch Phys Med Rehabil 1994;75:127-32.
40. McHorney C. Generic health measurement: Past accomplishments and a measurement paradigm for the 21st century. Ann Intern Med 1997;127:743-50.
41. Wright BD, Linacre JM. Observations are always ordinal; measurements, however, must be interval. Arch Phys Med Rehabil 1989;70:857-60.
42. SPSS for Windows. Chicago: SPSS; 1998-2000.
43. Office of Inspector General, Department of Health and Human Services. Monitoring Part B Therapy for SNF Patients. Washington (DC): DHHS; OIG; Nov 2000. Report no. OEI-09-99-00550.
44. Wells J. Medicare Prospective Payment in SNFs and Its Impact on Nursing Home Residents: Questions for Ombudsmen Considering the Care of medicare Patients in Nursing Homes. Washington (DC): National Long Term Care Ombudsman Resource Center; May 2001.