Functional Independence, Diagnostic Groups, Hospital Stay, and Modality of Payment in Three Croatian Seaside Inpatient Rehabilitation Centers

Mrčela, Nada Tomasović; Massari, Dražen; Vlak, Tonko
December 2010
Croatian Medical Journal;Dec2010, Vol. 51 Issue 6, p534
Academic Journal
Aim To determine patients' functional independence, diagnostic groups, duration of hospital stay, and modality of payment of rehabilitation in major special hospitals for rheumatology and medical rehabilitation on the Croatian seaside. Methods In a cross-sectional study conducted from October 2006 until January 2009, we surveyed 400 patients treated at 3 special hospitals for medical rehabilitation. Their functional independence was assessed by modified Barthel index and they self-evaluated their health using the first item from the 36-Item Short-Form Health Survey questionnaire. Results On admission, almost half of the patients (46%) were fully functionally independent, 33% were slightly dependent, while 21% were moderately or severely dependent. At the end of the hospitalization, significant predictors for the increase in Barthel index were longer hospital stay (odds ratio [OR], 1.14; 95% confidence interval [Cl], 1.06-1.22), diagnosis of post-procedural musculoskeletal disorders (OR, 4.84; 95% Cl, 1.90-10.57), diagnosis of conditions following acute ischemic heart disease (OR, 9.71; 95% Cl, 3.40-27.75), and lower Barthel index at admission (OR, 0.96; 95% Cl, 0.94-0.97). Of the 97 patients with dorsopathy, 73 (75%) were fully functionally independent and 57 (59%) paid for the treatment either themselves or contributed substantially to the total cost. Conclusion Assessment of patients' functional status is important for the organization of inpatient rehabilitation. Patients with dorsopathy could be targeted as a population for medical tourism in rehabilitation medicine in order to maximize the use of rehabilitation hospitals.


Related Articles

  • Increasing the dose of acute rehabilitation: is there a benefit? Parker, Ann M.; Lord, Robert K.; Needham, Dale M. // BMC Medicine;2013, Vol. 11 Issue 1, p1 

    Rehabilitation interventions, including physiotherapy and occupational therapy, can improve patient outcomes; however, the optimal duration and frequency of inpatient rehabilitation interventions is uncertain. In a recent randomized controlled trial published in, 996 patients in two...

  • Differential functioning of items: can the FIM stand up to being measured? O'Connor, R. J. // Clinical Rehabilitation;Jul2008, Vol. 22 Issue 7, p665 

    An abstract of the report "Differential Functioning of Items: Can the FIM Stand Up to Being Measured?," by R. J. O’Connor is presented.

  • What is the prevalence of rheumatic disorders in general medical inpatients? Hood, C.; Johnson, J.; Kelly, C. // Postgraduate Medical Journal;Dec2001, Vol. 77 Issue 914, p774 

    It has been suggested that rheumatological disorders are underdiagnosed in patients with medical problems and that this might be rectified by incorporation a standard brief screening examination as part of the routine assessment of all patients admitted to hospital with medical conditions....

  • The Influence of Functional Independence and Self-Concept on Return-to-Work in Patients With Spinal Cord Injury. Shu-Hua Yang; Shu-Chuan Yang; Min-Hua Chen; Wei-Chin Chang; Ya-Ping Lee; Yar-Fang Chiou // Journal of Nursing & Healthcare Research;8/28/2012, Vol. 8 Issue 3, p191 

    Background: Spinal cord injury (SCI) patients tend to suffer from low self-concept, and think negatively toward themselves due to physical incapacitation and loss of functional independence. Purpose: This study investigated correlations between self-concept and the variables level of functional...

  • PATIENTS' AND PHYSICIANS' PRIORITIES FOR IMPROVEMENT. THE CASE OF RHEUMATIC DISEASES. da Silva, J. A. P.; Ramiro, S.; Pedro, S.; Rodrigues, A.; Vasconcelos, J. C.; Benito-Garcia, E. // Acta Reumatológica Portuguesa;abr-jun2010, Vol. 35 Issue 2, p192 

    Objectives: To compare the health priorities elected by patients with rheumatic diseases and by their attending rheumatologists. Patients and Methods:We undertook a cross-sectional study among patients and rheumatologists in Portuguese rheumatology outpatient clinics. 75% of all Portuguese...

  • Estimate of nocturnal blood pressure and detection of non-dippers based on clinical or ambulatory monitoring in the inpatient setting. Tan Xu; Yongqing Zhang; Xuerui Tan // BMC Cardiovascular Disorders;2013, Vol. 13 Issue 1, p1 

    Background: Ambulatory blood pressure monitoring is regarded as the gold standard for monitoring nocturnal blood pressure (NBP) and is usually performed out of office. Currently, a novel method for monitoring NBP is indispensible in the inpatient setting. The widely used manual BP monitoring...

  • Opium and Opioid Abuse in Orthopedic Inpatients: A Cross Sectional Study in Urmia University of Medical Sciences. Afshar, Ahmadreza; Asadzadeh, Mina; Kargar, Hakimeh; Aghdashi, Mir Mosa; Mirzatolooei, Fardin // Acta Medica Iranica;2012, Vol. 50 Issue 1, p66 

    During a cross-sectional study, patients who were admitted to the orthopedic department of the Urmia University of Medical Sciences were asked about opium/opioid abuse. Demographic characteristics, the pattern of consumption, the substance, the duration of the use, the duration of hospital stay...

  • Utilization of ultrasound in medical inpatients in Malawi. Brindle, Hannah E.; Allain, Theresa J.; Kampondeni, Sam; Kayange, Noel; Faragher, Brian; Bates, Imelda; Joekes, Elizabeth // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jul2013, Vol. 107 Issue 7, p405 

    Background Ultrasound utilization studies in the developing world are important to support appropriate use. Methods A prospective, cross-sectional study in the medical wards at Queen Elizabeth Central Hospital, Blantyre, Malawi, was performed which aimed to assess referrals, reports and...

  • Perception of Pharmaceutical Care Roles of Pharmacists among In-patients in a Tertiary Care Facility in Jos City, Nigeria. Igbanugo, S. J.; Dabi, I. S.; Abah, I. O. // British Journal of Pharmaceutical Research;6/1/2014, Vol. 4 Issue 11, p1332 

    Aims: The study is aimed at gaining a better understanding of the perception of in-patients on the pharmaceutical care (PC) roles of the pharmacist. This is useful in assessing the quality of care provided by the pharmacist and in the design and implementation of improved pharmaceutical care...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics