S285 S290
than the average PRW by 8.6-fold. A key advantage of ratios over bi-
nary approaches for PRP characterization is that ratio values are
continuous, leading to a unique pattern of a patient’s PRP for com-
parison with clinical outcomes and co-morbidities.
Level of Evidence:
Level IV
CATEGORY: QUALITY IMPROVEMENT
Poster 478:
Effectiveness of Inpatient Rehabilitation in
Improving Functional Outcomes After Cranial Surgery
Nikhil Verma (Kingsbrook Jewish Medical Center), Efrain J. Perez-
Bravo, MD, Amarin Suriyakhamhaengwongse, MD, Swathy Sreekumar,
MD, Todd R. Lefkowitz, DO
Disclosures:
Nikhil Verma: I Have No Relevant Financial Relationships
To Disclose
Objective:
To assess the effectiveness of inpatient rehabilita-
tion to increase functional outcomes in patients after cranial
surgery.
Design:
This was a retrospective study. Using the Uniform Data System
(UDS), we obtained demographic and functional data of patients
admitted to an inpatient rehabilitation facility after cranial surgery
from 2010-2016. Surgeries investigated included: aneurysm clipping,
burr hole with hematoma evacuation, craniotomy with biopsy, crani-
otomy with drainage, craniotomy with hematoma evacuation, crani-
otomy with tumor resection, and ventricular drain and shunt
placement. Results were reported as mean standard deviation.
Setting:
Inpatient rehabilitation facility (IRF) of an inner-city hospital.
Participants:
The study included 44 cases, 20 males and 24 females.
All patients involved in the study were admitted to IRF after cranial
surgery.
Interventions:
Not applicable.
Main Outcome Measures:
We analyzed the admission and discharge
Functional IndependenceMeasure (FIM) scores and FIMefficiency (change
in total FIM score/actual length of stay) of all cranial surgery cases.
Results:
Mean age at admission was 62.4 14.9 years and mean body
mass index (BMI) at admission was 26.4 5.5 kg/m
2
. Three patients had
interrupted stay at the rehabilitation center due to post-operative
complications. Of the 41 patients who had an uninterrupted stay, the
change in mean cognitive FIM score was 6.6 4.8. The change in mean
motor FIM score was 16.6 13.8. The change in the mean total FIM score
was 23.9 18.2 (P
<
.001). The mean FIM efficiency was 1.5 1.6.
Twelve percent of the patients with uninterrupted stay were discharged
home and 41% of the patients were discharged home with health aid.
Conclusions:
The data from this retrospective study suggest inpatient
rehabilitation program helps to improve functional independence
measures and discharge rate to the home/community in patients after
cranial surgery.
Level of Evidence:
Level III
CATEGORY: QUALITY IMPROVEMENT
Poster 479:
Effectiveness of Inpatient Rehabilitation in Improving
Functional Outcomes After Spinal Fusion Surgery
Efrain J. Perez-Bravo, MD (Kingsbrook Jewish Medical
Center, Brooklyn, NY, United States), Nikhil Verma,
Amarin Suriyakhamhaengwongse, MD, Swathy Sreekumar, MD,
Todd R. Lefkowitz, DO
Disclosures:
Efrain Perez-Bravo: I Have No Relevant Financial Re-
lationships To Disclose
Objective:
To assess the effectiveness of inpatient rehabilitation in-
terventions on the functional outcomes of patients after spinal surgery
of cervical, thoracic, and lumbosacral spine.
Design:
This was a retrospective study. Using the Uniform Data System
(UDS), we obtained demographic and functional data of patients
admitted to an inpatient rehabilitation facility (IRF) after spinal fusion
surgery from 2013-2016. Results were reported as mean standard
deviation.
Setting:
IRF at an inner-city hospital.
Participants:
The study included 47 cases, 22 males and 25 females.
Interventions:
Not applicable.
Main Outcome Measures:
We analyzed admission and discharge
Functional Independence Measure (FIM) scores and FIM efficiency
(change in total FIM score/actual length of stay).
Results:
Mean age at admission was 61.5 10.5 years and mean
body mass index (BMI) at admission was 30.6 7.5 kg/m
2
. Two pa-
tients had interrupted stay at the rehabilitation center due to
post-operative complications. Of the 45 patients who had an unin-
terrupted stay, the mean admission and discharge cognitive FIM
scores were 32.2 4.4 and 34.2 2.6, respectively. The mean
admission and discharge motor FIM scores were 38.2 10.1 and 59.1
12.7, respectively. The mean admission and discharge total FIM
scores were 73.1 14.0 and 96.7 15.7 (P
<
.001), respectively. The
mean FIM efficiency was 2.3 1.3. Fifty-eight percent of the pa-
tients with uninterrupted stay were discharged home with improve-
ment in all FIM items.
Conclusions:
The data from this retrospective study suggest that an
inpatient rehabilitation program helps to improve functional inde-
pendence measures and discharge rate to the home/community.
Level of Evidence:
Level III
CATEGORY: PEDIATRICS
Poster 480:
Change in Quality of Life for Children Receiving Inpatient
Rehabilitation
Elizabeth Martin, MD (University of Washington, Seattle, WA, United
States), Kristie F. Bjornson, PhD, PT, PCS, Susan D. Apkon, MD,
FAAPMR
Disclosures:
Elizabeth Martin: I Have No Relevant Financial Relation-
ships To Disclose
Objective:
Our objectives were to determine the direction and
magnitude of change in patient and family-reported physical and
psychosocial health related quality of life through the course of pe-
diatric inpatient rehabilitation.
Design:
This was a retrospective analysis of data previously collected
in a prospective cohort study.
Setting:
Surveys were distributed to families of children admitted
to the inpatient rehabilitation unit of a freestanding children’s
hospital for rehabilitation between October 1, 2011, to January 1,
2017.
Participants:
Families of 135 children between ages 4-21 admitted
to the pediatric inpatient rehabilitation unit between the above
dates.
Interventions:
Children received acute inpatient rehabilitation ser-
vices appropriate for their functional impairments.
Main Outcome Measures:
Physical health related quality of life and
psychosocial health related quality of life measured using the Pedi-
atric Quality of Life Inventory tools.
Results:
Of the 135 children with completed surveys on the rehabili-
tation unit, 135 had a reported physical health related quality of life
(HRQOL) score at baseline, 133 at admission, and 63 reported post-
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Abstracts / PM R 9 (2017) S131-S290