Makoto Tokunaga, MD, PhD, Katsuhiko Sannomiya, RPT, Susumu Watanabe, MD, PhD,
Ryoji Nakanishi, MD, PhD, Hiroaki Yamanaga, MD, PhD, Hiroyuki Yonemitsu, MD, PhD,
Tadashi Terasaki, MD, Shuji Mita, MD, PhD, Shinichi Kawano, MD, PhD, Yoshifumi Hirata,
MD, PhD, Makio Yamaga, MD, PhD, Yoichiro Hashimoto, MD, Shigeru Sonoda, MD, PhD
Jpn J Compr Rehabil Sci 3: 51-58, 2012
Purpose: The purpose of this study was to clarify the
factors related to rehabilitation systems that yield high
functional independence measure (FIM) efficiency by
conducting a questionnaire survey in the kaifukuki
rehabilitation hospitals (KRHs) participating in the
Kumamoto Stroke Liaison Critical Pathway.
Methods: A total of 765 stroke patients were studied.
FIM score gain and length of stay (LOS) at three
hospitals in Kumamoto were classified into two groups
according to patientsf age and into three groups
according to their FIM score at the time of admission.
Then, FIM score gain and LOS were adjusted by the
standard severity distribution value of the 765 patients
to obtain the adjusted FIM efficiency. The hospitals
were ranked by the adjusted FIM efficiency. In
addition, we conducted a questionnaire survey on six
factors related to the rehabilitation system and
determined the factors that ranked the hospitals in the
same order as that from ranking based on adjusted
FIM efficiency.
Results: The adjusted FIM effi ciencies were 0.251 in
Hospital A, 0.205 in Hospital B, and 0.225 in Hospital
C. Among the six factors surveyed, the factors that
gave the same hospital ranking as that based on
adjusted FIM efficiency were the number of
rehabilitation and nursing staff members, and the
number of patients hospitalized for stroke.
Conclusion: Among the three hospitals in Kumamoto,
the FIM efficiency was high in the hospital with a large
number of rehabilitation and nursing staff members
and a large number of patients hospitalized for stroke.
Key words: FIM efficiency, rehabilitation system, stroke, liaison critical pathway, comparison among hospitals