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KMID : 0361420050290010135
Journal of Korean Academy of Rehabilitation Medicine
2005 Volume.29 No. 1 p.135 ~ p.140
The Discharge Destination of Rehabilitation Inpatients in a Tertiary Hospital
Rhie Kyong-Seok

Rah Ueon-Woo
Lee Il-Yung
Yim Shin-Young
Kim Kyong-Mi
Moon Do-Jun
Lee Jong-Bin
Abstract
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.
KEYWORD
Length of stay, Discharge Destination, Functional outcome, Rehabilitation
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