KMID : 0361420050290010135
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Journal of Korean Academy of Rehabilitation Medicine 2005 Volume.29 No. 1 p.135 ~ p.140
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The Discharge Destination of Rehabilitation Inpatients in a Tertiary Hospital
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Rhie Kyong-Seok
Rah Ueon-Woo Lee Il-Yung Yim Shin-Young Kim Kyong-Mi Moon Do-Jun Lee Jong-Bin
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Abstract
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Objective: To identify the factors which can delay home discharges or transfers to other hospitals of rehabilitation inpatients in a tertiary hospital and the change of discharge destination during past 6 years.
Methods: This was a retrospective study of patients with a diagnosis of stroke, traumatic brain injury or spinal cord injury who were admitted to our hospital in 1996, 1999, 2001 and 2003. Demographic data, length of stay, discharge destination and functional status by the FIMTM instrument were studied by a medical record review.
Results: Patients who were transferred to other hospitals or discharged with delay showed significantly lower admission and discharge FIM scores, lower FIM efficiencies, longer length of stays and longer intervals between the onset and admission to a rehabilitation ward.
Conclusion: Lower functional outcome was associated with a longer length of stay and discharge to another hospital. It would be necessary to establish the long term rehabilitation care facilities with extended rehabilitation program for the patients with lower functional gains in a rehabilitation unit of the tertiary hospitals.
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KEYWORD
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Length of stay, Discharge Destination, Functional outcome, Rehabilitation
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