Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 934-938 , June 2009

A Comparative Evaluation of Inpatient Rehabilitation for Older Adults With Debility, Hip Fracture, and Myopathy

Presented to the American Academy of Physical Medicine and Rehabilitation, September 27, 2007, Boston, MA.

  • Patrick Kortebein, MD

      Affiliations

    • Central Arkansas Veterans Healthcare System, Little Rock, AR
    • Department of Physical Medicine and Rehabilitation, University of Arkansas for Medical Sciences, Little Rock, AR
    • Donald W. Reynolds Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR
    • Corresponding Author InformationReprint requests to Patrick Kortebein, MD, Assistant Professor, PM&R and Geriatrics, University of Arkansas for Medical Sciences, Geriatric Research, Education and Clinical Center (3J/149), Central Arkansas Veterans Healthcare System, 2200 Fort Roots Dr, North Little Rock, AR 72214
    • ,
  • Carl V. Granger, MD

      Affiliations

    • Uniform Data System for Medical Rehabilitation and Department of Rehabilitation Medicine, University at Buffalo, The State University of New York, Buffalo, NY
    • ,
  • Dennis H. Sullivan, MD

      Affiliations

    • Central Arkansas Veterans Healthcare System, Little Rock, AR
    • Donald W. Reynolds Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR

References 

  1. Medicare. More specific criteria needed to classify inpatient rehabilitation (Report to the Senate Committee on Finance and the House Committee on Ways and Means: Publ. no. GAO-05-366). Washington (DC): Government Accountability Office; April 2005;
  2. Medicare Program (Changes to the criteria for being classified as an inpatient rehabilitation facility; final rule). Washington (DC): Dept of Health and Human Services, Centers for Medicare and Medicaid Services; May 2004;42 CFR Part 412; 2004. p 25752-76
  3. Public Law 110-173; Medicare, Medicaid and SCHIP Extension Act of 2007. Washington (DC): Dept of Health and Human Services; December 29, 2007;
  4. American Academy of Physical Medicine and Rehabilitation. Standards for assessing medical appropriateness criteria for admitting patients to rehabilitation hospitals or units. 2006 http://www.aapmr.org/zdocs/hpl/MIRC0906.pdfAccessed February 17, 2009
  5. Kortebein P. Rehabilitation for hospital associated deconditioning. Am J Phys Med Rehabil. 2009;88:66–77
  6. Raj G, Munir J, Ball L, Carr DB. An inpatient rehabilitation service for deconditioned older adults. Top Geri Rehab. 2007;23:126–137
  7. Kortebein P, Bopp MM, Granger CV, Sullivan DH. Outcomes of inpatient rehabilitation for older adults with debility. Am J Phys Med Rehabil. 2008;87:118–125
  8. Ottenbacher KJ, Smith PM, Illig SB, Linn RT, Ostir GV, Granger CV. Trends in length of stay, living setting, functional outcome, and mortality following medical rehabilitation. JAMA. 2004;292:1687–1695
  9. Carter GM, Relles DA, Buchanan JL, et al. Classification system for inpatient rehabilitation patients: a review and proposed revisions to the Functional Independence Measure—function related groups. Washington (DC): US Department of Commerce, National Technical Information Services; 1997;
  10. Ottenbacher KJ, Hsu Y, Granger CV, Fiedler RC. The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil. 1996;77:1226–1232
  11. Granger CV, Kelley-Hayes M, Johnston M, Deutsch A, Braun S, Fiedler RC. Quality and outcome measures for medical rehabilitation. In:  Braddom RL editors. Physical medicine and rehabilitation. Philadelphia: W. B. Saunders Co; 2000;p. 151–164
  12. Jain NB, Al-Adawi S, Dorvlo AS, Burke DT. Association between body mass index and functional independence measure in patients with deconditioning. Am J Phys Med Rehabil. 2008;87:21–25
  13. Graham JE, Chang PJ, Berges IM, Granger CV, Ottenbacher KJ. Race/ethnicity and outcomes following inpatient rehabilitation for hip fracture. J Gerontol Med Sci. 2008;63A:860–866
  14. Lieberman D, Friger M, Lieberman D. Inpatient rehabilitation outcome after hip fracture surgery in elderly patients: a prospective cohort study of 946 patients. Arch Phys Med Rehabil. 2006;87:167–171
  15. Hershkovitz A, Kalandariov Z, Hermush V, Weiss R, Brill S. Factors effecting short-term rehabilitation outcomes of disabled elderly patients with proximal hip fracture. Arch Phys Med Rehabil. 2007;88:916–921
  16. Ottenbacher KJ, Smith PM, Illig SB, Fiedler RC, Granger CV. Length of stay and hospital readmission for persons with disabilities. Am J Public Health. 2000;90:1920–1923
  17. Ottenbacher KJ, Smith PM, Illig SB, Peek MK, Fiedler RC, Granger CV. Hospital readmission of persons with hip fracture following medical rehabilitation. Arch Gerontol Geriatr. 2003;36:15–22
  18. Applegate WB, Miller ST, Graney MJ, Elam JT, Burns R, Akins DE. A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital. N Engl J Med. 1990;322:1572–1578
  19. Cohen HJ, Feussner JR, Weinberger M, et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl J Med. 2002;346:905–912
  20. CMS Manual System. Pub. 100-04, Medicare Claims Processing, Transmittal 347, October 29, 2004. www.cms.hhs.gov/InpatientRehabFacPPS/downloads/R347CP.pdfAccessed April 16, 2009

 A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit on the author or one or more of the authors. Dr. Granger is an employee of Uniform Data System for Medical Rehabilitation (UDSMR), a division of UB Foundation Activities Inc. FIM and UDSMR are trademarks of UDSMR, a division of UB Foundation Activities Inc.

PII: S0003-9993(09)00142-7

doi: 10.1016/j.apmr.2008.12.010

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 934-938 , June 2009

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