title: The Uniform Data System for Medical Rehabilitation: report of patients with debility discharged from inpatient rehabilitation programs in 2000-2010.
abstract: OBJECTIVE
  Benchmark data are provided for a national sample of patients who received inpatient rehabilitation for debility.
  
  
  METHODS
  Patients with debility from 830 inpatient rehabilitation facilities in the United States contributing to the Uniform Data System for Medical Rehabilitation from 2000 to 2010 were examined. Demographic information (age, marital status, sex, race/ethnicity, prehospital living setting, and discharge setting), hospital information (length of stay, program interruptions, payer, and codes for admitting diagnosis), and functional status (Functional Independence Measure [FIM] instrument ratings at admission and discharge, FIM change, and FIM efficiency) were analyzed.
  
  
  RESULTS
  Data from 2000 to 2010 (N = 260,373) revealed a decrease in mean (SD) FIM total admission ratings from 73.9 (16.2) to 62.5 (15.8). The FIM total discharge ratings decreased from 95.0 (19.7) to 88.2 (19.8). Mean (SD) length of stay decreased from 14.3 (9.1) to 12.1 (6.2) days. The FIM efficiency (change/day) increased from 1.9 (1.7) to 2.4 (1.9). Discharge to community decreased from 80% to 75%. Acute care discharges accounted for 12% of the cases. Policy changes affecting classification, reimbursement, and/or documentation processes may have influenced the results.
  
  
  CONCLUSIONS
  National data indicate that the number of debility cases is increasing with diverse composition of etiologic diagnoses. A high proportion of these patients is discharged to acute care compared with other impairment groups.
authors.affiliation: Department of Physical Therapy, University of Texas Medical Branch, Galveston, USA.
authors.forename: Rebecca V
authors.initials: RV
authors.lastname: Galloway
authors.forename: Carl V
authors.initials: CV
authors.lastname: Granger
authors.forename: Amol M
authors.initials: AM
authors.lastname: Karmarkar
authors.forename: James E
authors.initials: JE
authors.lastname: Graham
authors.forename: Anne
authors.initials: A
authors.lastname: Deutsch
authors.forename: Paulette
authors.initials: P
authors.lastname: Niewczyk
authors.forename: Margaret A
authors.initials: MA
authors.lastname: DiVita
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ottenbacher
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D015897:Comorbidity; D016208:Databases, Factual; D003953:Diagnosis-Related Groups; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D006278:Medicare; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers; D012494:Sampling Studies; D014481:United States / Q000453:epidemiology; D055815:Young Adult