Predicting follow-up living setting in patients with stroke

Pam M. Smith, Kenneth J. Ottenbacher, Mecca Cranley, Sharon S. Dittmar, Sandra B. Illig, Carl V. Granger

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objective: To examine living setting at 3- to 6-month follow-up for inpatients with functional impairments discharged from medical rehabilitation. Design: Retrospective performed by using information from the Uniform Data System for Medical Rehabilitation (UDSMR) representing medical rehabilitation patients across the United States. Setting: National survey data. Participants: Information submitted in 1997 and 1998 to the UDSMR by 167 facilities from 40 states was examined. A total of 9587 patient records were included in the final sample. The mean age ± standard deviation was 70.2 ± 12.4 years. The sample included 51.6% women and was comprised of 77.5% non-Hispanic white patients, with an average length of stay of 22.3 ± 4.6 days. Interventions: Not applicable. Main Outcome Measure: Living setting (home vs not at home) at 3- to 6-month follow-up. Results: A discriminant function training model including 8 statistically significant variables correctly classified 85.1% of the patients (n=8149). The total FIM™ instrument score, patient age, function-related group, and marital status were found to be useful classification variables. Wilks λ for the model was.924 (X2=1031.49, P<.000). The area under the receiver operating characteristics curve was.85. Conclusion: The association among functional abilities, demographic characteristics, and follow-up living setting in patients with stroke is complex. Functional variables can be used to help predict follow-up living setting. These variables change based on patient severity level.

Original languageEnglish (US)
Pages (from-to)764-770
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number6
DOIs
StatePublished - 2002

Keywords

  • Discharge planning
  • Patient discharge
  • Rehabilitation
  • Treatment outcomes

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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