Predictors of discharge to home/community following inpatient-rehabilitation in a US national sample of Guillain-Barre-Syndrome patients

Predictors of discharge to home/community following inpatient-rehabilitation in a US national sample of Guillain-Barre-Syndrome patients

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Background Guillain-Barre-Syndrome (GBS), an autoimmune polyneuropathy causing acute flaccid paralysis, is a rare condition with1-2 cases per 100,000 annually (approximately 5000 cases/year) in the United States (US).There is a paucity of published data regarding patient outcomes in association with Priming Tools discharge destinations following inpatient-rehabilitation (IR) in this patient population, thus this study.Objectives To analyze IR efficacy, and possible predictors of discharge to home/community in a US-national-sample of GBS patients.Methods Retrospective-observational-cohort study of 1304 GBS patients admitted to IR comparing discharge disposition destinations (community/home, skilled-nursing-facility [SNF], or return to acute-care) by demographic (age, gender) and clinical variables (length-of-stay [LOS], case-mix-index [CMI], and Functional-Independence-Measure [FIM] score changes).

Multinomial-logistic-regression and discriminant-function-analysis were performed to determine model fit in predicting discharge destination.Results 81.8% were discharged to home/community- Machine Quilting average LOS 19-days, total-FIM-gain 43.2; 9.

8% discharged to SNFs- average LOS 27.5-days, total-FIM-gain 27.2; and 8.4% discharged to acute-care- average LOS 15.

4-days and total-FIM-gain 16.5, (F = 176, p Conclusions Total-FIM scores improved in all groups, and most patients were discharged to home/community suggesting IR efficacy.The ability to transfer bed/chair/wheelchair was the most important predictive factor associated with discharge destination.