Analysis of FIM factors affecting discharge to home from a Recovery Rehabilitation hospital

Abstract

[Purpose] The purpose of this study was to investigate the factors affecting the discharge destination using FIM at a Recovery Rehabilitation Hospital. [Subjects] Two hundred twenty-six inpatients at our hospital were recruited. [Method] The subjects were assigned to a home group and a facility group according to their discharge destination. The scores of FIM items of both groups on hospitalization and on discharge were analyzed by logistic regression analysis, setting the home group and the facility group as the objective (criterion, response) variables. [Result] In the home group, the scores of items of physical motion, except eating, were significantly higher at discharge than on admission. On the other hand, no significant difference (in the items) was observed in the facility group. In comparison with the scores of FIM at discharge, eleven items in the category of physical motions, except eating, and problem solving and memory, in the category of cognition, were significantly higher in the home group than in the facility group. Furthermore, significant odds ratios were observed in the items of transfer to toilet and dressing lower extremity. [Conclusion] These findings suggest that transfer to toilet and dressing lower extremity are important factors affecting patients' discharge destination.