Affiliation:
1. Department of Neurological and Rehabilitation Science, IRCCS San Raffaele Roma, Rome
2. IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna
3. Clinical and Molecular Epidemiology, IRCCS San Raffaele
4. Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome
5. San Raffaele University, Rome, Italy
Abstract
The modified Barthel Index (mBI) is a well-established patient-centered outcome measure commonly administrated in rehabilitation settings to evaluate the functional status of patients at admission and discharge. This study aimed to detect which mBI items collected on admission can predict the total mBI at discharge from first inpatient rehabilitation in large cohorts of orthopedic (n = 1864) and neurological (n = 1684) patients. Demographic and clinical data (time since the acute event 11.8 ± 17.2 days) at patients’ admission and mBI at discharge were collected. Univariate and multiple binary logistic regressions were performed to study the associations between independent and dependent variables for each cohort separately. In neurological patients, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with feeding, personal hygiene, bladder, and transfers were independently associated with higher total mBI at discharge (R2 = 0.636). In orthopedic patients, age, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with personal hygiene, dressing, and bladder were independently associated with higher total mBI at discharge (R2 = 0.622). Our results showed that different activities in neurological (i.e. feeding, personal hygiene, bladder, and transfer) and orthopedic sample (i.e. personal hygiene, dressing, and bladder) are positively associated with better function (measured by mBI) at the discharge. Clinicians have to take into account these predictors of functionality when they plan an appropriate rehabilitation treatment.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation
Cited by
2 articles.
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