The FIM™ as a measure of change in function after discharge from inpatient rehabilitation: a Canadian perspective

Purpose. To examine the FIM™ as an outcome measure at follow-up following discharge from inpatient rehabilitation. Methods. Secondary analysis of the National Rehabilitation Reporting System (NRS) data from 13 facilities across Canada that collected follow-up data between 2001 and 2006. The study sa...

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Bibliographic Details
Published in:Disability and rehabilitation 2011, Vol.33 (7), p.579-588
Main Authors: Passalent, Laura A., Tyas, Jeanette E., Jaglal, Susan B., Cott, Cheryl A.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Adult
Canada
Databases, Factual
Discharged
Female
FIM
Follow-Up Studies
Hospitalization
Hospitals
Humans
Inpatients - statistics & numerical data
Length of stay
Male
Middle Aged
Outcome Assessment (Health Care)
Outcomes
Patient Discharge
Recovery of Function
Rehabilitation
Rehabilitation Centers
Time Factors
Treatment Outcome
Young Adult
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Summary:Purpose. To examine the FIM™ as an outcome measure at follow-up following discharge from inpatient rehabilitation. Methods. Secondary analysis of the National Rehabilitation Reporting System (NRS) data from 13 facilities across Canada that collected follow-up data between 2001 and 2006. The study sample included all NRS records with a hospital length of stay of at least 3 days, for individuals 18 years and older. Outcomes included: mean total, motor and cognitive FIM™ scores at admission, discharge, and follow-up; change in FIM™ scores from admission to discharge and from discharge to follow-up; correlation between FIM™ scores at admission, discharge and follow-up, and predictors of the change in FIM™ scores between discharge and follow-up. Results. The majority of the change in FIM™ scores is seen between admission and discharge with the higher FIM scores maintained, if not increased slightly, between discharge and follow-up. Discharge and follow-up total FIM™ scores are highly correlated indicating that collection of the follow-up FIM™ may not provide additional information that justifies the expense of data collection after a patient has been discharged from inpatient rehabilitation. Conclusions. The use of more appropriate rehabilitation follow-up outcomes needs to be considered.
ISSN:0963-8288
1464-5165
DOI:10.3109/09638288.2010.500346