Predicting follow-up living setting in patients with stroke.
OBJECTIVE
To examine living setting at 3- to 6-month follow-up for inpatients with functional impairments discharged from medical rehabilitation.


METHODS
Retrospective performed by using information from the Uniform Data System for Medical Rehabilitation (UDSMR) representing medical rehabilitation patients across the United States.


METHODS
National survey data.


METHODS
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.


METHODS
Not applicable.


METHODS
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 lambda for the model was.924 (chi(2)=1031.49, P<.000). The area under the receiver operating characteristics curve was.85.


CONCLUSIONS
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.
Smith
Pam M
PM
National FollowUp Services, Buffalo, NY, USA.
Ottenbacher
Kenneth J
KJ
Cranley
Mecca
M
Dittmar
Sharon S
SS
Illig
Sandra B
SB
Granger
Carl V
CV
D000203:Activities of Daily Living; D000368:Aged; D016002:Discriminant Analysis; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D010351:Patient Discharge; D012372:ROC Curve; D012111:Residence Characteristics; D012112:Residential Facilities / Q000706:statistics & numerical data; D012189:Retrospective Studies; D020379:Risk Adjustment; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D014481:United States