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Titre : | Evaluating Siebens Domain Management Model for Inpatient Rehabilitation to Increase Functional Independence and Discharge Rate to Home in Geriatric Patients (2015) |
Auteurs : | David S. Kushner ; Kenneth M. Peters ; Doug Johnson-Greene |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/7, 2015) |
Article en page(s) : | p. 13101318 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Gériatrie ; Institutionnalisation ; Prise en charge personnalisée du patient ; Rééducation et réadaptation ; Sortie du patient |
Mots-clés: | Clinical conference ; Confrontation clinique ; Geriatrics ; Institutionalization ; Outcome Assessment (Health Care) ; Patient discharge |
Résumé : |
Objective To evaluate the Siebens Domain Management Model (SDMM) for geriatric inpatient rehabilitation (IR) to increase functional independence and dispositions to home. Design Before and after study. Setting IR facility. Participants During 2010 (preintervention), 429 patients aged ≥75 years who were on average admitted to IR 8.2 days postacute care, and during 2012 (postintervention), 524 patients aged ≥75 years who were on average admitted to IR 5.5 days postacute care. Case-mix group (CMG) comorbidity tier severity, preadmission living setting, and living support were similar in both groups. Intervention The SDMM involving weekly adjustments of IR care focused on potential barriers to discharge home. Main Outcome Measures FIM efficiency, length of stay (LOS), and disposition rates to community/home, acute care, and long-term care (LTC) to compare pre-/postintervention facility data and comparison of facility to national CMG-adjusted data from the Uniform Data System for Medical Rehabilitation for both years (2010/2012). Results Pre-/postintervention group admission FIM scores were similar (t=2.96, P<.003 but the preintervention group had on average days greater los during ir and time to onset of vs from acute care. fim efficiency was whereas postintervention a significant difference p there were significantly more discharges community in than fewer patients discharged ltc did not differ national data differed for both discharge decreased by compared with only nationally lower> Conclusions Use of the SDMM during IR in geriatric patients is associated with increased functional independence and discharges to home/community and reduced institutionalization. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931500283X |