Abstract
BackgroundWe questioned whether the introduction of a subjective evaluation of patient-specific goals, could be used as a valid method to assess the effectiveness of inpatient rehabilitation.MethodsIn this prospective cohort study, all admissions to the UHN hemodialysis rehabilitation service between April 2013 and August 2016 were included. We introduced a system of subjective assessment, performed by the team at the time of admission and discharge. We evaluated Functional Independence Measure (FIM®) score and KDQoL for objective measures of physical function and patient-reported quality of life.ResultsA total of 201 patients were included. The median FIM score at discharge correlated well with the subjective staff evaluation. FIM score changes for those with evaluations for Success, Partial success, and Not Successful were 28 [interquartile range (IQR) 20–34], 24 [IQR18–31], 16 [IQR 11–34] respectively. The median PCS at discharge for those deemed to have Success was 37.4 [IQR31.0, 44.7], and for those with Partial success & Not Successful 28.8 [IQR 22.4, 39.2]. There was no correlation with MCS scores (55.2 [IQR 51.2, 60.2], 58.4 [IQR 50.1, 63.1] respectively).ConclusionsThese results suggest the subjective staff evaluation is a brief but valid assessment of patient outcome for dialysis patients undergoing inpatient rehabilitation.
Highlights
We questioned whether the introduction of a subjective evaluation of patient-specific goals, could be used as a valid method to assess the effectiveness of inpatient rehabilitation
Patients who had a complete follow up FIM® were mostly male (57%, n = 115), with a mean age of 71.5 years (Table 1)
The median FIM® score at the time of admission was 77 (n = 238, interquartile range (IQR) 68–89) and at discharge 110 (n = 201, IQR 97–117))
Summary
We questioned whether the introduction of a subjective evaluation of patient-specific goals, could be used as a valid method to assess the effectiveness of inpatient rehabilitation. The goal of rehabilitation is to optimize an individual’s functioning despite disease, injury or other health conditions. Specific activity goals are determined in the context of the individual’s lifestyle and resources, as well as with regard to how they interact with their physical, attitudinal and social environment [1]. When evaluating whether a period of rehabilitation has gone well, it is important to include the individual expectations for. The objective of this study was to evaluate if the subjective staff evaluation was validated by objective measures of rehabilitation success Shimoda et al BMC Nephrology (2020) 21:466 the Functional Independence Measure (FIM®) score [2]) and by changes in patient-reported quality of life scores (measured using the KDQoL [3])
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
