Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 7 , Pages 1267-1275 , July 2008

Analyzing Change in Recovery Patterns in the Year After Acute Hospitalization

Presented as a poster to the American Congress of Rehabilitation Medicine and American Society of Neurorehabilitation, September 28–October 1, 2006, Boston, MA.

  • Janet A. Prvu Bettger, ScD, TRS

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Philadelphia, PA
    • Department of Occupational Therapy and Rehabilitation Counseling, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA
    • Corresponding Author InformationReprint requests to Janet A. Prvu Bettger, ScD, TRS, 3615 Chestnut St, #334, Philadelphia, PA 19104-2676
  • ,
  • Wendy J. Coster, PhD, OTR/L

      Affiliations

    • Department of Occupational Therapy and Rehabilitation Counseling, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA
  • ,
  • Nancy K. Latham, PhD, PT

      Affiliations

    • Health and Disability Institute, Boston University, Boston, MA.
  • ,
  • Julie J. Keysor, PhD, PT

      Affiliations

    • Department of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA

References 

  1. Gill TM, Kurland B. The burden and patterns of disability in activities of daily living among community-living older persons. J Gerontol A Biol Sci Med Sci. 2003;58:70–75
  2. Verbrugge LM, Reoma JM, Gruber-Baldini AL. Short-term dynamics of disability and well-being. J Health Soc Behav. 1994;35:97–117
  3. Beckett LA, Brock DB, Lemke JH, et al. Analysis of change in self-reported physical function among older persons in four population studies. Am J Epidemiol. 1996;143:766–778
  4. Hardy SE, Dubin JA, Holford TR, Gill TM. Transitions between states of disability and independence among older persons. Am J Epidemiol. 2005;161:575–584
  5. Perera S, Studenski S, Chandler JM, Guralnik JM. Magnitude and patterns of decline in health and function in 1 year affect subsequent 5-year survival. J Gerontol A Biol Sci Med Sci. 2005;60:894–900
  6. Hardy SE, Gill TM. Recovery from disability among community-dwelling older persons. JAMA. 2004;291:1596–1602
  7. Gill TM, Allore H, Holford TR, Guo Z. The development of insidious disability in activities of daily living among community-living older persons. Am J Med. 2004;117:484–491
  8. Gill TM, Hardy SE, Williams CS. Underestimation of disability in community-living older persons. J Am Geriatr Soc. 2002;50:1492–1497
  9. Hornbrook MC, Hurtado AV, Johnson RE. Health care episodes: definition, measurement and use. Med Care Rev. 1985;42:163–218
  10. Rosen AK, Mayer-Oakes A. Episodes of care: theoretical frameworks versus current operational realities. Jt Comm J Qual Improv. 1999;25:111–128
  11. Rosen AK. Windows of observation. In:  Iezzoni L editors. Risk adjustment for measuring health care outcomes. 3rd ed.. Chicago: Health Administration Pr; 2003;p. 71–82
  12. Gill TM, Allore HG, Hardy SE, Guo Z. The dynamic nature of mobility disability in older persons. J Am Geriatr Soc. 2006;54:248–254
  13. Goldstein LB, Adams R, Alberts MJ, et al. American Heart Association/American Stroke Association Stroke Council Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group Cardiovascular Nursing Council Clinical Cardiology Council Nutrition, Physical Activity, and Metabolism Council Quality of Care and Outcomes Research Interdisciplinary Working Group American Academy of Neurology Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group: the American Academy of Neurology affirms the value of this guideline. Stroke. 2006;37:1583–1633
  14. Sacco RL, Adams R, Albers G, et al. American Heart Association/American Stroke Association Council on Stroke Council on Cardiovascular Radiology and Intervention American Academy of Neurology Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: a statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Circulation. 2006;113:e409–e449
  15. Tilling K, Sterne JA, Rudd AG, Glass TA, Wityk RJ, Wolfe CD. A new method for predicting recovery after stroke. Stroke. 2001;32:2867–2873
  16. Guide for the uniform data set for medical rehabilitation (adult FIM). Version 3.1. Buffalo: Research Foundation, State Univ New York; 1990;
  17. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61–65
  18. Dromerick AW, Edwards DF, Diringer MN. Sensitivity to changes in disability after stroke: a comparison of four scales useful in clinical trials. J Rehabil Res Dev. 2003;40:1–8
  19. Kwon S, Hartzema AG, Duncan PW, Min-Lai S. Disability measures in stroke: relationship among the Barthel Index, the Functional Independence Measure, and the Modified Rankin Scale. Stroke. 2004;35:918–923
  20. van der Putten JJ, Hobart JC, Freeman JA, Thompson AJ. Measuring change in disability after inpatient rehabilitation: comparison of the responsiveness of the Barthel Index and the Functional Independence Measure. J Neurol Neurosurg Psychiatry. 1999;66:480–484
  21. Cohen ME, Marino RJ. The tools of disability outcomes research: functional status measures. Arch Phys Med Rehabil. 2000;81(12 Suppl 2):S21–S29
  22. Kersten P, Mullee MA, Smith JA, McLellan L, George S. Generic health status measures are unsuitable for measuring health status in severely disabled people. Clin Rehabil. 1999;13:219–228
  23. Hobart JC, Williams LS, Moran K, Thompson AJ. Quality of life measurement after stroke: uses and abuses of the SF-36. Stroke. 2002;33:1348–1356
  24. Lai SM, Perera S, Duncan PW, Bode R. Physical and social functioning after stroke: comparison of the Stroke Impact Scale and Short Form-36. Stroke. 2003;34:488–493
  25. Andresen EM, Meyers AR. Health-related quality of life outcomes measures. Arch Phys Med Rehabil. 2000;81(12 Suppl 2):S30–S45
  26. Johnston KC, Connors AF, Wagner DP, Haley EC. Predicting outcome in ischemic stroke: external validation of predictive risk models. Stroke. 2003;34:200–202
  27. Johnston KC, Connors AF, Wagner DP, Knaus WA, Wang X, Haley EC. A predictive risk model for outcomes of ischemic stroke. Stroke. 2000;31:448–455
  28. Coster WJ, Haley SM, Andres PL, Ludlow LH, Bond TL, Ni PS. Refining the conceptual basis for rehabilitation outcome measurement: personal care and instrumental activities domain. Med Care. 2004;42(1 Suppl):I62–I72
  29. Haley SM, Coster WJ, Andres PL, et al. Activity outcome measurement for postacute care. Med Care. 2004;42(1 Suppl):I49–I61
  30. Haley SM, Andres PL, Coster WJ, Kosinski M, Ni P, Jette AM. Short-form activity measure for post-acute care. Am J Phys Med Rehabil. 2004;85:649–660
  31. van Swieten J, Koudstaal P, Visser M, Schouten H, van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients. Stroke. 1988;19:604–607
  32. Hankey GJ, Spiesser J, Hakimi Z, Bego G, Carita P, Gabriel S. Rate, degree, and predictors of recovery from disability following ischemic stroke. Neurology. 2007;68:1583–1587
  33. Ware JE, Kosinski M, Dewey JE, Gandek B. How to score and interpret single-item health status measures: a manual for users of the SF-8 Health Survey. Lincoln: QualityMetric; 1999;
  34. Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med. 1999;48:445–469
  35. Campbell VA, Crews JE, Moriarty DG, Zack MM, Blackman DK. Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults: United States 1993-1997. MMWR Surveill Summ. 1999;48:131–156
  36. World Health Organization. International classification of functioning, disability and health: ICF. Geneva: WHO; 2001;
  37. Coster WJ, Haley SM, Ludlow LH, Andres PL, Ni PS. Development of an applied cognition scale to measure rehabilitation outcomes. Am J Phys Med Rehabil. 2004;85:2030–2035
  38. Manton KG, Gu X, Lamb VL. Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly population. Proc Natl Acad Sci U S A. 2006;103:18374–18379
  39. Coster WJ, Haley SM, Jette AM. Measuring patient reported outcomes after rehabilitation using the Short-Form Activity Measure for Post-Acute Care (AM-PAC). J Rehabil Med. 2006;38:237–242
  40. Andres PL, Haley SM, Ni PS. Is patient-reported function reliable for monitoring postacute outcomes?. Am J Phys Med Rehabil. 2003;82:614–621
  41. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81:776–788
  42. Wyrwich KW, Nienaber NA, Tierney WM, Wolinsky FD. Linking clinical relevance and statistical significance in evaluating intra-individual changes in health-related quality of life. Med Care. 1999;37:469–478
  43. Wyrwich KW, Tierney WM, Wolinsky FD. Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Clin Epidemiol. 1999;52:861–873
  44. Hebert R, Spiegelhalter DJ, Brayne C. Setting the minimal metrically detectable change on disability rating scales. Arch Phys Med Rehabil. 1997;78:1305–1308
  45. Hardy SE, Allore HG, Guo Z, Dubin JA, Gill TM. The effect of prior disability history on subsequent functional transitions. J Gerontol A Biol Sci Med Sci. 2006;61:272–277
  46. Chobanian AV, Bakris GL, Black HR, et al. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure National Heart, Lung, and Blood Institute National High Blood Pressure Education Program Coordinating Committee The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (The JNC 7 Report). JAMA. 2003;289:2560–2571
  47. Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence (Unifying the approach to geriatric syndromes). JAMA. 1995;273:1348–1353
  48. Mahoney JE, Sager MA, Jalaluddin M. Use of an ambulation assistive device predicts functional decline associated with hospitalization. J Gerontol A Biol Sci Med Sci. 1999;54:M83–M88
  49. Ramos LR, Simoes EJ, Albert MS. Dependence in activities of daily living and cognitive impairment strongly predicted mortality in older urban residents in Brazil: a 2-year follow-up. J Am Geriatr Soc. 2001;49:1168–1175
  50. Dunlop DD, Semanik P, Song J, Manheim LM, Shih V, Chang RW. Risk factors for functional decline in older adults with arthritis. Arthritis Rheum. 2005;52:1274–1282

 Supported in part by the National Institute of Child Health and Human Development, National Center for Medical Rehabilitation Research (post-doctoral fellowship no. T32-HD-007425), and the National Institute of Disability and Rehabilitation Research, U.S. Department of Education (grant no. H133B990005).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00270-0

doi: 10.1016/j.apmr.2007.11.046

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 7 , Pages 1267-1275 , July 2008