Outcomes after in-reach multidisciplinary rehabilitation in the acute ward
Table IV. Comparison of secondary outcomes
Group
Acute discharge
Motor FIM
Discharge from ICU
Acute discharge
Cognitive FIM
Discharge from ICU
Acute discharge
Total FIM (18–126)
Discharge from ICU
Acute discharge
DASS depression (0–42)
Usual care (n = 33)
Mean (SD)
52.6 (6.6) 51.2 (8.2)
54.1 (5.0) 55.3 (4.3)
30.9 (12.1) 27.5 (9.4)
73.9 (18.2) 73.9 (19.0)
31.5 (5.5) 31.9 (5.2)
33.8 (2.1) 33.4 (4.2)
62.4 (14.1) 59.3 (12.1)
107.7 (18.6) 107.2 (21.2)
Acute discharge 5.2 (7.9) 9.6 (9.9)
At 6 months 6.0 (7.6) 5.6 (7.5)
7.7 (10.9) 6.8 (9.6)
At 12 months
DASS anxiety (0–42)
Acute discharge 8.9 (7.9) 11.7 (9.3)
At 6 months 5.3 (9.3) 4.7 (6.3)
8.2 (10.2) 8.1 (9.5)
At 12 months
DASS stress (0–42)
10.1 (9.7) 13.7 (9.6)
At 6 months 7.3 (8.9) 7.7 (9.4)
At 12 months
Total DASS 10.0 (11.5) 8.0 (8.9)
Acute discharge 24.2 (22.5) 35.0 (26.4)
At 6 months 18.5 (23.4) 18.0 (19.9)
At 12 months
Lawton’s (8–30) 26.0 (29.9) 22.1 (23.9)
Prior to admission 25.6 (4.7) 26.5 (4.8)
At 6 months 26.8 (4.8) 26.7 (5.5)
At 12 months
SF-12 (MCS) 27.0 (5.1) 26.7 (5.9)
At 6 months 51.2 (12.4) 52.2 (10.5)
At 12 months
SF-12 (PCS) 52.7 (12.7) 55.0 (12.2)
At 6 months 39.2 (10.5) 38.9 (13.1)
40.9 (11.1) 41.4 (10.8)
Acute discharge
At 12 months
AQoL-4D utility value (0–1.0)
Early rehabilitation (n = 29)
Mean (SD)
Time a
p-value
At 6 months 0.60 (0.31) 0.57 (0.33)
At 12 months 0.58 (0.35) 0.54 (0.35)
Time*Allocation b
p-value
0.001 0.12
< 0.001 0.44
< 0.001 0.31
< 0.001 0.56
0.61 0.13
0.006 0.63
0.09 0.20
0.08 0.22
0.63 0.71
0.15 0.67
0.17 0.82
0.39 0.42
ICU acquired weakness score (0–60)
Discharge from ICU
Outcomes analysed using 1-way repeated measures analysis of variance (ANOVA).
p-values for main effect of time.
p-values for group by time interaction.
SF-12v2, Short Form 12 Health Survey, version 2, in which higher scores indicate improved performance; PCS, SF-12v2 physical component score, MCS, SF-12v2
mental component score. SF-12v2 results are presented as T-scores where the population mean is 50 and the SD is 10.
AQoL: Assessment of Quality of Life Measure; consistent with utility theory, for those who died, the AQoL utility score was set at 0.00 and higher scores indicate
higher utility (comparative fit index 0.90). DASS: Depression Anxiety Stress Scale. SD: standard deviation; ICU: intensive care; FIM: Functional Independence
Measure.
a
b
Table V. Comparison of other secondary outcomes
Group
Early rehabilitation (n = 29) Usual care (n = 33)
Community living 15 (51.7) 17 (51.5)
Respite (aged care facility) 0 1 (3)
Inpatient rehabilitation 10 (34.5) 13 (39.4)
4 (13.8) 2 (6.1)
29 (100) 32 (97)
0
4 (13.8)
13.0 (9.0–16.0)
231.5 (139.7–308.8) 1 (3)
6 (18.2)
12.5 (9.0–16.0)
210 (123.0–292.0)
p-value
Discharge destination from acute care, n (%)
Another acute care
Final discharge destination (from hospital), n (%)
Community living
603
Respite (aged care facility)
Unable to perform mobility tests at acute discharge, n (%)
Timed Up and Go Test at acute discharge (seconds), median (IQR)
6MWT at acute discharge, m, median (IQR)
0.64
0.71
0.68
IQR: interquartile range; 6MWT: 6-min walk test (m), higher scores equal improved performance, normative value = 662 m; Timed Up and Go Test (s), lower
scores equal improved performance, normative value 9.2 s.
J Rehabil Med 51, 2019