Katsuhiko Sannomiya, PT, Makoto Tokunaga, MD, PhD, Ryoji Nakanishi, MD, PhD,
Susumu Watanabe, MD, PhD, Tadashi Terasaki, MD, Shinichi Kawano, MD, PhD,
Koreaki Yamakuma, MD, Chikayoshi Kanazawa, MD, Yoshifumi Hirata, MD, PhD,
Makio Yamaga, MD, PhD, Yoichiro Hashimoto, MD
Jpn J Compr Rehabil Sci 5: 66-71, 2014
Objective: To compare the mean corrected FIM
effectiveness (which is insusceptible to FIM score on
admission) at six Kaifukuki rehabilitation hospitals.
Methods: A total of 2,192 stroke patients were studied.
Using data from all the Kaifukuki rehabilitation
hospitals, the value of gAh was found where the
corrected FIM effectiveness [FIM gain/(A - FIM
score on admission)] is approximately 0.63. Then a
Kruskal-Wallis test was conducted to determine
whether there was a significant difference between the
mean corrected FIM effectiveness of the six hospitals.
Results: The mean corrected FIM effectiveness
ranged from 0.567 (Hospital D) to 0.841 (Hospital C)
showing a significant difference between the six
hospitals (p<0.001).
Conclusion: Using the corrected FIM effectiveness
enabled a comparison of FIM improvement at the six
Kaifukuki rehabilitation hospitals which had differing
levels of severity distribution.
Key words: liaison critical pathway, corrected total FIM effectiveness, severity distribution, inter-hospital comparison