Overall dependency and functional outcome scores on admission and discharge (n=5739)
| Admission Mean (SD) | Discharge Mean (SD) | Mean difference | 95% CIs* | t | p Value Two-tailed | |
|---|---|---|---|---|---|---|
| Functional independence (FIM+FAM) | ||||||
| Self-care | 26.2 (13.0) | 34.7 (13.4) | 8.6 | 8.3 to 8.8 | 71.6 | <0.001 |
| Sphincter | 7.2 (4.8) | 9.7 (4.8) | 2.5 | 2.4 to 2.6 | 50.3 | <0.001 |
| Transfers | 10.8 (8.1) | 17.7 (9.2) | 7.0 | 6.7 to 7.1 | 72.6 | <0.001 |
| Locomotion | 6.4 (4.7) | 10.9 (6.0) | 4.6 | 4.5 to 4.7 | 71.1 | <0.001 |
| Communication | 21.9 (10.2) | 26.1 (9.2) | 4.2 | 4.1 to 4.4 | 54.4 | <0.001 |
| Psychosocial | 16.2 (7.4) | 19.9 (6.9) | 3.7 | 3.5 to 4.8 | 54.4 | <0.001 |
| Cognition | 19.8 (10.4) | 24.7 (9.6) | 5.0 | 4.8 to 5.1 | 57.6 | <0.001 |
| Subscale and total scores FIM+FAM | ||||||
| Motor | 50.6 (27.9) | 72.9 (31.6) | 22.7 | 22.1 to 23.3 | 79.7 | <0.001 |
| Cognitive | 58.0 (26.0) | 70.8 (24.2) | 12.8 | 12.5 to 13.3 | 64.6 | <0.001 |
| Total FIM+FAM | 108.5 (47.1) | 143.7 (51.0) | 35.5 | 34.6 to 36.4 | 83.8 | <0.001 |
| Subscale and total scores FIM only† | ||||||
| Motor | 41.5 (24.2) | 59.9 (26.7) | 18.4 | 17.9 to 18.8 | 76.7 | <0.001 |
| Cognitive | 21.7 (10.0) | 25.9 (9.0) | 4.2 | 4.0 to 4.3 | 56.5 | <0.001 |
| Total FIM | 63.1 (30.2) | 85.8 (33.1) | 22.6 | 22.1 to 23.1 | 80.5 | <0.001 |
| Dependency (NPDS/NPCNA) | ||||||
| Total NPDS score | 31.0 (17.4) | 20.8 (17.6) | −10.3 | −10.7 to −10.0 | −59.6 | <0.001 |
| Care hours/week | 44.7 (19.5) | 31.7 (21.2) | −13.0 | −13.4 to −12.6 | −59.2 | <0.001 |
| Care costs/week | £1580 (£933) | £1083 (£950) | −£496 | −£517 to −£475 | −45.9 | <0.001 |
| Cost-efficiency parameters | ||||||
| Mean | 95% CI | |||||
| FIM efficiency | 0.42 | 0.41 to 0.44 | ||||
| FIM+FAM efficiency | 0.67 | 0.64 to 0.69 | ||||
| Time to offset the costs of rehabilitation (months) | 17.9 | 14.5 to 21.4 | ||||
*Bootstrapped CIs based on 1000 bootstrap samples.
†FIM sores are provided for comparison with other series.
FIM, Functional Independence Measure; FIM+FAM, UK Functional Assessment Measure; NPDS, Northwick Park Dependency Score; NPCNA, Northwick Park Care Needs Assessment.