Functional independence measure reference values for the discharge to home of stroke patients

Abstract

Purpose: This research was conducted to clarify the cut-off values of the motor and cognition subscales of the Functional Independence Measure (FIM) for the discharge to home of stroke patients. Subjects: The subjects were 215 stroke patients. Methods: The patients’ medical records of the last 5 years were retrospectively examined. Patients were classified into two groups based on discharge destination (discharge to home, and transfer to another hospital or residential facility), and the cut-off values of the FIM motor and cognition subscales were calculated from the receiver operating characteristics (ROC) curve. Results: The motor FIM cut-off level was 57.5, with a sensitivity of 78.7% and specificity of 89.7%. The cognitive FIM cut-off value was 23.5, with a sensitivity of 73.7% and a specificity of 80.6%. Conclusion: The results suggest that for the discharge to home of stroke patients, a FIM motor value of 57.5 and a FIM cognitive value of 23.5 or more is needed.