Utility of Functional Status for Classifying Community Versus Institutional Discharges After Inpatient Rehabilitation for Stroke Timothy A. Reistetter,

Slides:

Advertisements

Similar presentations

Christina M. Marciniak, MD, James A. Sliwa, DO, Allen W

Advertisements

Characterizing Occupational Therapy Practice in Stroke Rehabilitation

David K. Ryser, MD, Marlene J. Egger, PhD, Susan D

Active Mobilization for Mechanically Ventilated Patients: A Systematic Review Zhiqiang Li, MD, Xiaoxia Peng, MD, PhD, Bo Zhu, MS, Yingang Zhang, MS, Xiuming.

Joint Replacement Rehabilitation Outcomes on Discharge From Skilled Nursing Facilities and Inpatient Rehabilitation Facilities Gerben DeJong, PhD, Susan.

Cost-Effectiveness of Screening for Deep Vein Thrombosis by Ultrasound at Admission to Stroke Rehabilitation Richard D. Wilson, MD, Patrick K. Murray,

Mobility status during inpatient rehabilitation: A comparison of patients with stroke and traumatic brain injury Janice J. Eng, PhD, OT/PT, Sarah J.

Work Ability Index Predicts Application for Disability Pension After Work-Related Medical Rehabilitation for Chronic Back Pain Matthias Bethge, PhD,

James A. Sliwa, DO, Allen Heinemann, PhD, Patrick Semik, BA

Effectiveness of Home- and Community-Based Rehabilitation in a Large Cohort of Patients Disabled by Cerebrovascular Accident: Evidence of a Dose-Response.

Reliability and Fall Experience Discrimination of Cross Step Moving on Four Spots Test in the Elderly Shunsuke Yamaji, PhD, Shinichi Demura, PhD Archives.

Kevin R. Vincent, MD, PhD, Randy W. Braith, PhD, Heather K

Development of the Hand Active Sensation Test: Reliability and Validity Petra S. Williams, MS, D. Michele Basso, EdD, Jane Case-Smith, EdD, Deborah S.

Sze-Jia Hong, MSc, Esther Y. Goh, MSc, Salan Y. Chua, MSc, Shamay S

Effect of a Safe Patient Handling Program on Rehabilitation Outcomes

Accuracy of Self-Reported Physical Activity as an Indicator of Cardiovascular Fitness Depends on Education Level Paul Gerrard, MD Archives of Physical.

Yiqin Mong, MSc, Tilda W. Teo, MSc, Shamay S. Ng, PhD

Reliability and Concurrent Validity of Four Square Step Test Scores in Subjects With Chronic Stroke: A Pilot Study Esther Y. Goh, MSc, Salan Y. Chua,

Comparison of Diagnostic Accuracy of Clinical Measures of Breast Cancer–Related Lymphedema: Area Under the Curve Betty J. Smoot, DPTSc, Josephine F.

Preliminary Results for the PAR-PRO: A Measure of Home and Community Participation Glenn V. Ostir, PhD, Carl V. Granger, MD, Terrie Black, RN, MBA, Pamela.

Laura Dickey, BA, Aura Kagan, PhD, M

A Specific Inpatient Aquatic Physiotherapy Program Improves Strength After Total Hip or Knee Replacement Surgery: A Randomized Controlled Trial Ann E.

Kim A. Brock, PhD, Patricia A. Goldie, PhD, Kenneth M. Greenwood, PhD

Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury for 489 Program Completers Compared With Those Precipitously Discharged

Five Times Sit-to-Stand Test Performance in Parkinson's Disease

Rehabilitation Outcomes of Stroke Patients With and Without Diabetes

Comparison of Postoperative Rehabilitation in Cancer Patients Undergoing Internal and External Hemipelvectomy Ying Guo, MD, Jack Fu, MD, J. Lynn Palmer,

Kenneth J. Ottenbacher, PhD, Michael E

Return to Primary Service Among Bone Marrow Transplant Rehabilitation Inpatients: An Index for Predicting Outcomes Jack B. Fu, MD, Jay Lee, PhD, Dennis.

Sharon J. Hakkennes, BPhty, Kim Brock, PhD, Keith D. Hill, PhD

The Relationship Between Falls History and Computerized Dynamic Posturography in Persons With Balance and Vestibular Disorders Susan L. Whitney, PhD,

Regional Variation in Stroke Rehabilitation Outcomes

Clinical Characteristics and Rehabilitation Outcomes of Patients With Posterior Cerebral Artery Stroke Yee Sien Ng, MD, MRCP, Joel Stein, MD, Sara S.

Fulfilling the Promise: Supporting Participation in Daily Life

A Multitest Regimen of Pain Provocation Tests as an Aid to Reduce Unnecessary Minimally Invasive Sacroiliac Joint Procedures Peter van der Wurff, PT,

The Mini-Mental State Examination and Montreal Cognitive Assessment in Persons With Mild Subacute Stroke: Relationship to Functional Outcome Joan Toglia,

Wei Tao, PhD, Stephen M. Haley, PhD, PT, Wendy J

Predicting Recovery of Upper-Body Dressing Ability After Stroke

Feasibility of 2 Different Water-Based Exercise Training Programs in Patients With Parkinson's Disease: A Pilot Study Carlos Ayán, PhD, José Cancela,

Bita Imam, BSc, William C. Miller, PhD

Robert A. Ruchinskas, PsyD, Hedy K. Singer, PhD, Nancy K. Repetz, PsyD

Medical Comorbidities in Disorders of Consciousness Patients and Their Association With Functional Outcomes Shanti Ganesh, MD, Ann Guernon, MA, Laura.

The incidence and consequences of falls in stroke patients during inpatient rehabilitation: Factors associated with high risk Robert Teasell, MD, FRCPC,

Leigh A. Hale, PhD, Jan Piggot, MHSc

Paul A. Ilett, BAppSc (Physio), Kim A. Brock, PhD, Christine J

Interrater Reliability of Functional Status Scores for Patients Transferred From One Rehabilitation Setting to Another Friedbert Kohler, MBBS, FAFRM,

Development of the Hand Active Sensation Test: Reliability and Validity Petra S. Williams, MS, D. Michele Basso, EdD, Jane Case-Smith, EdD, Deborah S.

Evaluating the Responsiveness of 2 Versions of the Gross Motor Function Measure for Children With Cerebral Palsy Hui-Yi Wang, PhD, Yi Hsin Yang, PhD

Otto L. Lam, PhD, Anne S. McMillan, PhD, Lakshman P

Pei-Fen J. Chang, PhD, OTR, Glenn V

Longitudinal Description of the Disability Rating Scale for Individuals in the National Institute on Disability and Rehabilitation Research Traumatic.

Rehabilitation Consumers' Use and Understanding of Quality Information: A Health Literacy Perspective Susan Magasi, PhD, Elizabeth Durkin, PhD, Michael.

Trudy Mallinson, PhD, Joy Hammel, PhD

David K. Ryser, MD, Marlene J. Egger, PhD, Susan D

Longitudinal Description of the Glasgow Outcome Scale-Extended for Individuals in the Traumatic Brain Injury Model Systems National Database: A National.

Archives of Physical Medicine and Rehabilitation

Satisfaction with medical rehabilitation in patients with orthopedic impairment1 Melodee Mancuso, PhD, Pamela Smith, DNS, RN, Sandra Illig, MS, RN, Carl.

James S. Krause, PhD, Lee L. Saunders, PhD

The Concurrent Validity and Responsiveness of the High-Level Mobility Assessment Tool for Measuring the Mobility Limitations of People With Traumatic.

Characterizing Occupational Therapy Practice in Stroke Rehabilitation

A 2-item screen for depression in rehabilitation inpatients

Prediction of Discharge Destination After Stroke Using the Motor Assessment Scale on Admission: A Prospective, Multisite Study Sandra G. Brauer, PhD,

Terry Haines, PhD, Suzanne S

Journal-Based CME Evaluation and Application

Patrick K. Murray, MD, MS, Neal V. Dawson, MD, Charles L

James H. Rimmer, PhD, Edward Wang, PhD

Kenneth J. Ottenbacher, PhD, OTR, James E. Graham, PhD, DC

ACRM News Archives of Physical Medicine and Rehabilitation

Pilot Study Examining the Association Between Ambulatory Activity and Falls Among Hospitalized Older Adults Steve R. Fisher, PT, PhD, Rebecca V. Galloway,

Distinguishing Patient Satisfaction With Treatment Delivery From Treatment Effect: A Preliminary Investigation of Patient Satisfaction With Symptoms After.

Presentation transcript:

Utility of Functional Status for Classifying Community Versus Institutional Discharges After Inpatient Rehabilitation for Stroke Timothy A. Reistetter, PhD, OTR, James E. Graham, PhD, DC, Anne Deutsch, PhD, CRRN, Carl V. Granger, MD, Samuel Markello, PhD, Kenneth J. Ottenbacher, PhD, OTR Archives of Physical Medicine and Rehabilitation Volume 91, Issue 3, Pages 345-350 (March 2010) DOI: 10.1016/j.apmr.2009.11.010 Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 ROC curves comparing the ability of discharge FIM total, FIM motor, and FIM cognition to classify discharge setting after inpatient rehabilitation for stroke. AUC quantifies the relative strength of the test to distinguish between patients discharged to the community versus an institution. Archives of Physical Medicine and Rehabilitation 2010 91, 345-350DOI: (10.1016/j.apmr.2009.11.010) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 ROC curve for discharge FIM total scores to differentiate between community and institutional discharges. The same cut point (FIM=78) was identified by the closest-to-(0,1) and Youden Index approaches, which locate the point on the ROC curve closest to perfect discrimination and furthest from chance discrimination, respectively. Archives of Physical Medicine and Rehabilitation 2010 91, 345-350DOI: (10.1016/j.apmr.2009.11.010) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Probability density functions for FIM total scores from the 2 discharge groups. The cut point shown represents the optimal FIM score for differentiating positive and negative tests when errors in sensitivity and specificity are equally weighted. The graph also shows the tradeoff between these errors (false-negative and false-positive rates) when moving the cut point from its current value. Archives of Physical Medicine and Rehabilitation 2010 91, 345-350DOI: (10.1016/j.apmr.2009.11.010) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions