Full Length Research Paper
To examine the outcomes of inpatient rehabilitation for Guillain Barre Syndrome (GBS) survivors using the Australian Rehabilitation Outcomes Centre (AROC) database. De-identified data from the AROC database was analysed for all rehabilitation admissions during 2003 - 2008, using 4 classes for functional level. The outcomes included: Functional Independence Measure (FIM) scores and FIM efficiency, hospital length of stay (LOS) and discharge destination. Of 577 case episodes 58% were male, mean age 56.7 years, 91% were discharged to the community and 64.8% (n = 374) were in the lowest functional classes (217, 218 and 219). The majority of GBS survivors were treated in the public hospital system (434 versus 143), and had a slightly longer LOS compared with patients treated in private facilities (30 versus 24 days, p 0.004). The FIM for all classes (216 - 219) showed significant functional improvement during the admission (p < 0.000). As expected those in the most functionally impaired classes showed most change (FIM change: 10 in class 216, 37 in class 219). FIM efficiency was highest in classes 217 and 218. The year -to -year trend was towards reducing hospital LOS however this was not significant (p = 0.721). The AROC dataset is a valuable research tool for describing rehabilitation outcomes. However more specific information needs to be collected alongside the core AROC data to allow more meaningful evaluation of outcomes for GBS rehabilitation.
Key words: Australian rehabilitation outcomes centre dataset, rehabilitation, outcomes, measurement, function, hospital length of stay, Guillain Barre syndrome.
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