Racial/ethnic differences in FIM scores and length of stay for underinsured patients undergoing stroke inpatient rehabilitation

American Journal of Physical Medicine & Rehabilitation
Faye Y Chiou-TanDiana H Rintala

Abstract

To explore racial/ethnic differences in FIM data from admission to discharge in underinsured patients undergoing inpatient stroke rehabilitation. This is a retrospective analysis of the Uniform Data System for Medical Rehabilitation (UDSMR) database of an inpatient rehabilitation unit of a county hospital in a large urban city. Data included 171 adult patients admitted to the stroke rehabilitation unit between January 2000 and October 2003. Main outcome measures included admission and discharge total FIM score, FIM gain, FIM efficiency, and length of stay (LOS). Data were analyzed using chi analyses, t tests, univariate analysis of variance, binary logistic regression, and hierarchical multiple regression. Data from 68 Hispanic, 83 black, and 20 white patients were included in the study. Univariate tests revealed that race/ethnicity groups differed significantly on admission FIM score (F=5.38, P<0.005), FIM gain (F=4.35, P<0.014), and FIM efficiency (F=3.42, P<0.035). Post hoc pairwise comparisons revealed that Hispanics had lower admission FIM scores than blacks (58.9 vs. 68.9). However, Hispanics had higher FIM gain scores than blacks (26.8 vs. 21.5). Race/ethnicity was not significantly related to age, gender, side of stroke...Continue Reading

References

Oct 1, 1991·Stroke; a Journal of Cerebral Circulation·K KataokaK Yamada
Dec 1, 1991·Stroke; a Journal of Cerebral Circulation·R L SaccoJ P Mohr
Feb 1, 1995·Stroke; a Journal of Cerebral Circulation·R M ZweiflerJ F Rothrock
Jan 1, 1997·Stroke; a Journal of Cerebral Circulation·R D HornerK L Kahn
Oct 6, 2001·Archives of Physical Medicine and Rehabilitation·K J OttenbacherC V Granger
Mar 8, 2003·Stroke; a Journal of Cerebral Circulation·Ronnie D HornerUNKNOWN VA Acute Stroke (VAST) Study Team
Mar 15, 2003·Archives of Physical Medicine and Rehabilitation·Mrugeshkumar K Shah, Randie M Black-Schaffer

❮ Previous
Next ❯

Citations

Sep 6, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·James E GrahamKenneth J Ottenbacher
Jul 17, 2014·Stroke Research and Treatment·Charles EllisRobert Adams
May 1, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Ivonne-M BergesGlenn V Ostir
Jun 30, 2007·Clinical Neurology and Neurosurgery·Xuedong LiuDezhong Xu
Sep 17, 2014·Archives of Physical Medicine and Rehabilitation·Charles EllisDaniel T Lackland
Apr 1, 2015·Archives of Physical Medicine and Rehabilitation·Vu Q C NguyenCharles F Rhoads
May 16, 2009·Topics in Stroke Rehabilitation·Sharon K OstwaldStanley G Cron
Nov 15, 2016·Archives of Physical Medicine and Rehabilitation·Charles Ellis, Richard K Peach
Mar 24, 2018·Disability and Rehabilitation·Suzanne Perea BurnsRobert J Adams
Sep 7, 2018·Topics in Stroke Rehabilitation·Lynda D LisabethLewis B Morgenstern
Mar 15, 2014·Stroke; a Journal of Cerebral Circulation·Lynda D LisabethLewis B Morgenstern
May 28, 2011·Stroke; a Journal of Cerebral Circulation·Salvador Cruz-FloresUNKNOWN Council on Quality of Care and Outcomes Research
Apr 8, 2017·Stroke; a Journal of Cerebral Circulation·Lewis B MorgensternLynda D Lisabeth
Nov 7, 2019·American Journal of Physical Medicine & Rehabilitation·Laura E FloresJulie K Silver
Apr 22, 2009·Expert Review of Cardiovascular Therapy·Charles Ellis, Leonard E Egede
Oct 23, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Charles A OdonkorJulie K Silver
May 14, 2021·Saudi Pharmaceutical Journal : SPJ : the Official Publication of the Saudi Pharmaceutical Society·Rehana BasriMohammad Khursheed Alam

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.