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Titre : | Same But Different: FIM Summary Scores May Mask Variability in Physical Functioning Profiles (2018) |
Auteurs : | Steve R. Fisher ; Addie Middleton ; James E. Graham |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1479-1482 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gériatrie ; Rééducation et réadaptation |
Mots-clés: | Geriatrics ; Medicare ; Medicare (USA) |
Résumé : |
Objective To examine how similar summary scores of physical functioning using the FIM can represent different patient clinical profiles. Design Retrospective cohort study. Setting Inpatient rehabilitation facilities. Participants Medicare fee-for-service beneficiaries (N=765,441) discharged from inpatient rehabilitation. Interventions Not applicable. Main Outcome Measures We used patients scores on items of the FIM to quantify their level of independence on both self-care and mobility domains. We then identified patients as requiring no physical assistance at discharge from inpatient rehabilitation by using a rule and scorebased approach. Results In those patients with FIM self-care and mobility summary scores suggesting no physical assistance needed, we found that physical assistance was in fact needed frequently in bathroom-related activities (eg, continence, toilet and tub transfers, hygiene, clothes management) and with stairs. It was not uncommon for actual performance to be lower than what may be suggested by a summary score of those domains. Conclusions Further research is needed to create clinically meaningful descriptions of summary scores from combined performances on individual items of physical functioning. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931830090X |