title: Orthopedic impairment after medical rehabilitation: functional performance and satisfaction with community participation.
abstract: OBJECTIVE
  To determine the prevalence of satisfaction with community participation and to examine associations between change in functional status and satisfaction with community participation for persons with orthopedic impairments.
  
  
  METHODS
  Retrospective study of 3832 patients discharged from medical rehabilitation facilities in 2001 using information from the IT Health Track database.
  
  
  RESULTS
  Primary measures were the FIM instrument and satisfaction with community participation. The majority of patients (86.9%) were satisfied (very or somewhat) with their level of community participation. Positive-change scores in FIM total from admission to the 80- to 180-day follow-up were associated with an 8% increased odds of being in a higher satisfaction with community participation level (odds ratio, 1.08; 95% confidence interval: 1.07, 1.09) after controlling for age, gender, marital status, race/ethnicity, insurance source, length of stay and functional status. Similarly, positive-change score in motor (odds ratio, 1.09; 95% confidence interval: 1.08, 1.10) and cognition (odds ratio, 1.26; 95% confidence interval: 1.19, 1.32) FIM measures from admission to follow-up were associated with greater satisfaction with community participation.
  
  
  CONCLUSIONS
  Gains in functional status were significantly associated with greater satisfaction with community participation. Satisfaction with community participation provides information useful to evaluate patient recovery after discharge from inpatient medical rehabilitation.
authors.affiliation: Sealy Center on Aging, the Division of Geriatrics, Department of Medicine, the University of Texas Medical Branch, Galveston, Texas 77555, USA.
authors.forename: Glenn V
authors.initials: GV
authors.lastname: Ostir
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Smith
authors.forename: David
authors.initials: D
authors.lastname: Smith
authors.forename: Janida L
authors.initials: JL
authors.lastname: Rice
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ottenbacher
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003256:Community Participation / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care / Q000592:standards* / Q000639:trends; D005260:Female; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000175:diagnosis / Q000534:rehabilitation; D016017:Odds Ratio; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D011787:Quality of Health Care; D011788:Quality of Life; D020127:Recovery of Function; D012189:Retrospective Studies; D012737:Sex Factors; D014481:United States