The utility of short-term goal achievement as an early indicator of discharge destination in people admitted to neurological rehabilitation with severe functional deficits
| Autor: | Jenna K Lang, David Murphy, Irina Churilov, Susan Black, Leonid Churilov, Meaghan Mackenzie, Kim Brock |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment macromolecular substances 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Activities of Daily Living Neurological rehabilitation medicine Humans Goal achievement Prospective Studies Goal setting Stroke Retrospective Studies Rehabilitation business.industry Neurological Rehabilitation Stroke Rehabilitation medicine.disease Functional Independence Measure Patient Discharge Term (time) Hospitalization 0305 other medical science Early phase business Goals 030217 neurology & neurosurgery |
| Zdroj: | Disability and Rehabilitation. 44:1221-1226 |
| ISSN: | 1464-5165 0963-8288 |
| DOI: | 10.1080/09638288.2020.1793225 |
| Popis: | This study investigates whether short-term goal achievement in the early phase of neurological rehabilitation is an accurate indicator of discharge destination in patients with severe disability in comparison to change in scores in the motor domain of the Functional Independence Measure (FIM motor).A prospective observational cohort study.A consecutive sample of 53 patients admitted to rehabilitation with a neurological diagnosis and FIM motor score below 47.Short-term goal achievement showed good prognostic utility [area under the curve (AUC) of 0.75; 95% confidence intervals (CI) 0.6, 0.89] for discharge destination, dichotomized as home or semi-independent living versus nursing home care, similar to that demonstrated by change in FIM motor scores (AUC of 0.69; 95% CI 0.55, 0.84),Short-term goal achievement in the early phase post-admission is a good indicator of the person's potential to return home.Implications for RehabilitationShort-term goal setting should be a key practice feature of neurological rehabilitation.Goal achievement is an indicator of a person's potential to return home or to semi-independent living in people with severe neurological deficits.Evaluation of short-term goal achievement may inform the ongoing rehabilitation program and discharge planning. |
| Databáze: | OpenAIRE |
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