Can FIM Predict Return to Home of Patients with Fracture Who Move from an Acute Ward to a Comprehensive Community-based Care Ward?

Abstract

[Purpose] The aim of this study was to investigate whether discharge to home can be predicted by the FIM of patients with fractures when they enter a comprehensive community-based care ward. [Subjects and Methods] Seventy-nine patients were assigned to either the discharged to home group or the change of hospital group. We retrospectively studied the factors recorded in medical records and compared the two groups. Next, we analyzed the factors with significant differences using multiple logistic regression analysis. [Results] The factors with significant differences associated with discharge to home were age, the degree of need of nursing care before hospitalization, hospitalization period in an acute ward, type of fracture, mFIM and cFIM on entering a comprehensive community-based care ward. Multiple logistic regression analysis using these 6 factors identified age, period in an acute ward, and mFIM as being associated with the discharge destination. From the results of ROC curves, the cut off value for determining the discharge destination was 58.5 mFIM. [Conclusion] The mFIM when entering a comprehensive community-based care ward might be a factor predicting discharge to home of patients with fractures in a comprehensive community-based care ward.