title: Efficacy of 7 days per week inpatient admissions and rehabilitation therapy.
abstract: OBJECTIVE
  To evaluate the efficacy of 7 d/wk of inpatient admissions and rehabilitation therapy (7DART) in a rehabilitation hospital.
  
  
  METHODS
  Cross-sectional, retrospective electronic data review.
  
  
  METHODS
  Rehabilitation hospital.
  
  
  METHODS
  Adult patients who participated in the 7DART program and were admitted and discharged between February 2009 and January 2010 (n=1808), and adult patients who received 5 d/wk of inpatient admissions and rehabilitation therapy (5DART), and were admitted and discharged between February 2008 and January 2009 (n=1692).
  
  
  METHODS
  Occupational therapy and physiotherapy during the weekends (7DART only).
  
  
  METHODS
  FIM rating change from admission to discharge, length of hospital stay, rehabilitation workload per patient, and discharge destination.
  
  
  RESULTS
  There were 3500 patients admitted with a mean age ± SD of 72.1±13.3 years and a male-to-female ratio of 1:1.9. Under 7DART conditions, there was a 6.9% increase in admissions (7DART=1808 vs 5DART=1692, P=.006), an 86% increase in weekend admissions (255 vs 137, P<.001), a 13.2% increase in rehabilitation workload per patient (40.7 h vs 36 h, P<.001), and a 5.4% decrease in rehabilitation hospital stay (19.3 d vs 20.3 d, P=.043). Similar FIM rating changes were obtained from admission to discharge under both conditions (18.2 for 7DART vs 18.7 for 5DART, P=.099). Both groups resulted in 94% of patients achieving their rehabilitation goals (7DART=94.1%, 5DART=94.5%; P=.967), and 88.6% of patients returning to their homes (7DART=88.1%, 5DART=89.2%; P=.334).
  
  
  CONCLUSIONS
  Despite the fact that patients in both groups had similar functional outcomes and discharge destination, the 7DART rehabilitation model reduced length of hospital stay and increased rehabilitation workload, demonstrating increased efficiency and access to care by admitting more patients from acute care, rehabilitating them, and discharging them to the community in less time than the 5DART model.
authors: St. John's Rehab Hospital, Toronto, Ontario, Canada.
authors: Marie
authors: M
authors: DiSotto-Monastero
authors: Xiaoyan
authors: X
authors: Chen
authors: Shelby
authors: S
authors: Fisch
authors: Siobhan
authors: S
authors: Donaghy
authors: Manuel
authors: M
authors: Gomez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000458:organization & administration*; D010343:Patient Admission / Q000706:statistics & numerical data*; D026761:Physical Therapy Specialty / Q000458:organization & administration*; D012047:Rehabilitation Centers / Q000458:organization & administration*; D012189:Retrospective Studies; D013997:Time Factors