Abstract
Objective: The purpose of this study was to assess changes in the length of stay and its effect on effectiveness and return to school in an inpatient pediatric rehabilitation unit during a 5-yr period from fiscal year 1997 through 2001. Design: We reviewed prospectively collected data for a cohort of 321 children during fiscal years 1997-2001. Results: Length of stay was significantly shortened, with mean lengths of stay of 58.9, 43.5, 30.7, 40.9, and 24.0 days in years 1997 through 2001, respectively. Change in length of stay remained significantly decreased after adjusting for age, sex, admission diagnosis, admission severity, and type of health insurance. There was no difference in mean change in effectiveness measured by change in admission and discharge WeeFIM® ratings. There were significant differences across years in the educational placement of children at discharge, with a declining trend in the proportion of children discharged to classroom-based educational services. Conclusion: There was a reduction in inpatient length of stay during a 5-yr period for children in this pediatric rehabilitation setting. During this time, there was no change in the effectiveness of rehabilitation as measured by functional outcome. However, using return to a classroom setting as a marker of reintegration into routine activities, fewer children returned to a similar level of community participation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 27-32 |
| Number of pages | 6 |
| Journal | American Journal of Physical Medicine and Rehabilitation |
| Volume | 83 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2004 |
| Externally published | Yes |
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Keywords
- Child
- Length of Stay
- Pediatrics
- Rehabilitation
- Rehabilitation Outcome
ASJC Scopus subject areas
- Rehabilitation
- Health Professions(all)
- Orthopedics and Sports Medicine
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Effect of Shortened Length of Stay on Functional and Educational Outcome after Pediatric Rehabilitation. / Rice, Sydney A; Allaire, Janet; Elgin, Kevin; Farrell, Walter; Conaway, Mark; Blackman, James A.
In: American Journal of Physical Medicine and Rehabilitation, Vol. 83, No. 1, 01.2004, p. 27-32.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effect of Shortened Length of Stay on Functional and Educational Outcome after Pediatric Rehabilitation
AU - Rice, Sydney A
AU - Allaire, Janet
AU - Elgin, Kevin
AU - Farrell, Walter
AU - Conaway, Mark
AU - Blackman, James A.
PY - 2004/1
Y1 - 2004/1
N2 - Objective: The purpose of this study was to assess changes in the length of stay and its effect on effectiveness and return to school in an inpatient pediatric rehabilitation unit during a 5-yr period from fiscal year 1997 through 2001. Design: We reviewed prospectively collected data for a cohort of 321 children during fiscal years 1997-2001. Results: Length of stay was significantly shortened, with mean lengths of stay of 58.9, 43.5, 30.7, 40.9, and 24.0 days in years 1997 through 2001, respectively. Change in length of stay remained significantly decreased after adjusting for age, sex, admission diagnosis, admission severity, and type of health insurance. There was no difference in mean change in effectiveness measured by change in admission and discharge WeeFIM® ratings. There were significant differences across years in the educational placement of children at discharge, with a declining trend in the proportion of children discharged to classroom-based educational services. Conclusion: There was a reduction in inpatient length of stay during a 5-yr period for children in this pediatric rehabilitation setting. During this time, there was no change in the effectiveness of rehabilitation as measured by functional outcome. However, using return to a classroom setting as a marker of reintegration into routine activities, fewer children returned to a similar level of community participation.
AB - Objective: The purpose of this study was to assess changes in the length of stay and its effect on effectiveness and return to school in an inpatient pediatric rehabilitation unit during a 5-yr period from fiscal year 1997 through 2001. Design: We reviewed prospectively collected data for a cohort of 321 children during fiscal years 1997-2001. Results: Length of stay was significantly shortened, with mean lengths of stay of 58.9, 43.5, 30.7, 40.9, and 24.0 days in years 1997 through 2001, respectively. Change in length of stay remained significantly decreased after adjusting for age, sex, admission diagnosis, admission severity, and type of health insurance. There was no difference in mean change in effectiveness measured by change in admission and discharge WeeFIM® ratings. There were significant differences across years in the educational placement of children at discharge, with a declining trend in the proportion of children discharged to classroom-based educational services. Conclusion: There was a reduction in inpatient length of stay during a 5-yr period for children in this pediatric rehabilitation setting. During this time, there was no change in the effectiveness of rehabilitation as measured by functional outcome. However, using return to a classroom setting as a marker of reintegration into routine activities, fewer children returned to a similar level of community participation.
KW - Child
KW - Length of Stay
KW - Pediatrics
KW - Rehabilitation
KW - Rehabilitation Outcome
UR - http://www.scopus.com/inward/record.url?scp=0346788633&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0346788633&partnerID=8YFLogxK
U2 - 10.1097/01.PHM.0000104667.81620.FA
DO - 10.1097/01.PHM.0000104667.81620.FA
M3 - Article
C2 - 14709972
AN - SCOPUS:0346788633
VL - 83
SP - 27
EP - 32
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
SN - 0894-9115
IS - 1
ER -