Adults with acquired brain injury at inpatient rehabilitation: discharge comparison of patientreported outcomes at follow-up with functional status.
Autor: | Roberts, Pamela S, Ouellette, Debra, Wertheimer, Jeffrey |
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Předmět: |
HEALTH self-care
REHABILITATION for brain injury patients SCALE analysis (Psychology) GOODNESS-of-fit tests HEALTH status indicators MENTAL health RECEIVER operating characteristic curves HOSPITAL care QUESTIONNAIRES LOGISTIC regression analysis FUNCTIONAL status DISCHARGE planning RETROSPECTIVE studies DESCRIPTIVE statistics REHABILITATION centers TELEMEDICINE QUALITY of life STATISTICS ELECTRONIC health records GERIATRIC assessment HEALTH outcome assessment QUALITY assurance DATA analysis software PHYSICAL mobility SENSITIVITY & specificity (Statistics) WELL-being EVALUATION ADULTS |
Zdroj: | Advances in Rehabilitation; 2024, Vol. 38 Issue 1, p43-51, 9p |
Abstrakt: | Introduction: The aim of the article was to determine the correlation between self-care and mobility status at time of discharge from an inpatient rehabilitation hospital, and examine patient-reported physical and mental health outcomes among individuals with acquired brain injury (ABI). Material and methods: Electronic health data was collected retrospectively as part of routine care from an inpatient rehabilitation hospital. Clinician-rated functional data was collected at the time of discharge, and follow-up data assessing health-related quality of life was acquired by telephone. Data was obtained from patients discharged between the dates of January 1, 2020-December 31, 2021 with final data being collected via telephone at a point in time after discharge. Results: The study included 143 individuals with ABI, mean age 70 years; 55.42% were female and 68.53% were white. The model predicting patient perception of good physical health had 69.23% sensitivity and 62.5% specificity: C statistic 0.72. Sex and mobility scores at discharge were found to be significant predictors of good mental health, with a sensitivity of 63.55% and specificity of 63.89%: C statistic 0.68. Conclusions: Despite their importance, little data exists regarding the relationship between patient-reported outcomes (PROs) and clinician-rated measures. There is a need to better understand the relationship between clinician-rated functional status, demographic variables, comorbidities and patient-reported outcomes. Such data can assist in proactively addressing expectations related to physical and mental health, and can guide rehabilitation and behavioral health intervention during home and community reintegration. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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