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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(1):135-140.
The Discharge Destination of Rehabilitation Inpatients in a Tertiary Hospital.
Rhie, Kyong Seok , Rah, Ueon Woo , Lee, Il Yung , Yim, Shin Young , Kim, Kyong Mi , Moon, Do Jun , Lee, Jong Bin
1Department of Rehabilitation Medicine, Onsan Boram Hospital, Korea.
2Department of Physical Medicine & Rehabilitation, Ajou University School of Medicine, Korea. drleejongbin@hanmail.net
3Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea.
삼차의료기관 재활의학과 입원 환자들의 퇴원 양상
이경석, 나은우1, 이일영1, 임신영1, 김경미2, 문도준1, 이종빈1
온산 보람병원, 1아주대학교 의과대학 재활의학교실, 2국립재활병원
To identify the factors which can delay home discharges or transfers to other hospitals of rehabilitation inpatients in a tertiary hospital and the change of discharge destination during past 6 years.
This was a retrospective study of patients with a diagnosis of stroke, traumatic brain injury or spinal cord injury who were admitted to our hospital in 1996, 1999, 2001 and 2003. Demographic data, length of stay, discharge destination and functional status by the FIMTM instrument were studied by a medical record review. Result: Patients who were transferred to other hospitals ordischarged with delay showed significantly lower admission and discharge FIM scores, lower FIM efficiencies, longer length of stays and longer intervals between the onset and admission to a rehabilitation ward.
Lower functional outcome was associated with a longer length of stay and discharge to another hospital. It would be necessary to establish the long term rehabilitation care facilities with extended rehabilitation program for the patients with lower functional gains in a rehabilitation unit of the tertiary hospitals. (J Korean Acad Rehab Med 2005; 29: 135-140)
Key Words: Length of stay, Discharge destination, Functional outcome, Rehabilitation


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