The purpose of this study was to determine what factors predict resource utilization and outcomes in patients recovering from an acute care orthopedic treatment episode in a facility offering subacute rehabilitation. Data were obtained from a subacute orthopedic rehabilitation program offered at a continuing care facility. Administrative and follow-up data was obtained for a case series of 779 patients undergoing subacute rehabilitation following an acute care hospital stay for an orthopedic condition. The Functional Independence Measure (FIM) was applied at admission, discharge, and 12 weeks post-subacute discharge. Resource utilization was estimated through the calculation of subacute length of stay (SL0S). The average age of the population was 73.5 years and 77% were female. A regression model explaining 30% of the variance in SLOS contained admission motor FIM score, acute care LOS, age, and lower leg/ankle fracture. A regression model explaining 85% of the variance in motor functional gain contained admission motor FIM score, lower/leg ankle fracture, and knee replacement. These results indicate that admission functional status is the key predictor of both SLOS and functional change. Prediction of twelve-week functional change was more successful than the prediction of subacute care length of stay.
Learning Objectives: N/A
Keywords: Health Care, Outcome Measures
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.