Original Article

A comparison of the corrected Functional Independence Measure (FIM) effectiveness at Kaifukuki rehabilitation hospitals participating in the Kumamoto Stroke Liaison Critical Pathway

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

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