Copyright 1997 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc., all rights reserved. No other variables were found to be significant at our conservative level (0.05/30 = 0.0017); however, it should be noted that side of paresis, depression, recurrent stroke, and 2 socioeconomic items (ECO-SEQ and SUP-SEQ) were all significantly correlated with LOS at P < .05. Lai's mean FIM gain were 23.1(14.6) and 27.4(14.2),[23] in our case mean FIM gain were 26.50 (12.39) and 40.11 (22.4) respectively. Wolters Kluwer Health
The following is the general treatment process and approximate completion times. The winners are: Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Edward Witten. The duration of your treatment process can depend on the severity of the addiction. Special thanks go to Jaume Lopez Carvallo from Institut Guttmann's Research and Innovation Department for his support in data access. [2]. The Medicare reimbursement rate for medical rehabilitation in an inpatient rehabilitation hospital or unit is a set rate per patient. 2010 Mar;34(1):17-23. doi: 10.1097/NPT.0b013e3181cfd3ac. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. For more information, please refer to our Privacy Policy. The average change in Total Function Score per day of client participation in the inpatient rehabilitation program. [7]. Mamman Watila M, Abdullahi Balarabe S. Factors predicting post-, [9]. Marshall I, Wang Y, Crichton S, et al. Med J Aust 2013;198:1048. Appelros P. Prediction of length of stay for, [4]. eCollection 2022. 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Most inpatient programs cannot begin until this step has been completed. Other moderate associations involving socioeconomic items are presented in sup material, the most relevant are: ENV-SEQ correlated positively with FIM gain (r = 0.24, P = .01) and negatively with T-FIM-Adm (r = 0.33, P < .001); meanwhile, SOC-SEQ also correlated negatively with T-FIM-Adm (r = 0.25, P < .001). Stroke rehabilitation length of stay (LOS) is one of the most relevant quantitative indexes that measure health service utilization within a hospital. After excluding 243 patients with more than 3 weeks since stroke onset to admission, 247 with more than 1 week since admission to FIM assessment and 244 with more than 1 week since admission to SEQ assessment a total of 1421 were assessed for discharge conditions. SEQ, NIHSS, and FIM for each social risk level. Chung L, Wang YH, Chen TJ, et al. Medical complications and comorbidities (reported using ICD9 codes) were collected from the participants electronical health records (EHRs). LOS is the principal predictive factor of medical expenses among variables that affect the total costs during hospitalization. This is about the time it takes to break a habit, receive the appropriate therapy and return to a productive life. Care should be exercised when comparing this indicator between facilities or jurisdictions. This study conforms to the STROBE guidelines.[24]. The cookie is used to store the user consent for the cookies in the category "Analytics". Characteristics at admission for the total patients included in the study. Routine eye exams, eyeglasses or contacts. does not cover: Routine dental exams, most dental care or dentures. By clicking Accept, you consent to the use of ALL the cookies. Bring plenty of layering options so you can adjust to your comfort level. We aim to identify LOS predictors within a population of mostly severe patients and analyze the impact of socioeconomic situation in functionality at admission. A patient's typical length of time at a short-term rehabilitation facility is around 20 days, with many patients being discharged in as little as seven to fourteen days. Many treatment facilities typically offer patients short-term stays between 28 to 30 days. Inpatient Rehabilitation Length of Stay Efficiency [Indicator]. Lattanzi S, Di Napoli M, Ricci S, et al. Holguin JA, Margetis JL, Narayan A, Yoneoka GM, Irimia A. Each form of rehabilitation serves a unique purpose in helping a person reach full recovery, but all share the ultimate goal of helping the patient return to a healthy and active lifestyle. A higher value indicates that clients experienced greater improvements in Total Function Score per day of inpatient rehabilitation, on average; a lower value indicates less improvement. Correlations of FIM at admission and discharge with SEQ and NIHSS. CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8 . Study outcomes included cognition and motor functional gains measured by the Functional Independence Measure (FIM) instrument and discharge to the community. Rakesh N, Boiarsky D, Athar A, et al. Find out why! versttning med sammanhang av "inpatient stay" i engelska-ryska frn Reverso Context: However, more complex procedures may require a short inpatient stay. [8]. Bring clothes that are comfortable and appropriate for moving around in. According to Medicare.gov, skilled care includes skilled nursing or rehabilitation services to manage, observe, or assess a residents care. [33] As stroke patients with systemic inflammation have been reported to exhibit clinically poorer outcomes,[34] it is an important element to consider in future work. eCollection 2022. The cookie is used to store the user consent for the cookies in the category "Performance". A warm blanket, some good old fashioned paper-bound word puzzles, a coloring book, and a fistful of colored pencils. Due to these changes, any indicator trends identified need to be interpreted carefully, as they may reflect changes in the underlying population or service levels rather than actual changes in rehabilitation effectiveness. modify the keyword list to augment your search. The average LOS was 8.9, 13.9, and 22.2 days for mild, moderate, and severely impaired stroke patients, respectively. Quick StatsURL:https://www.cihi.ca/en/length-of-stay-and-length-of-stay-efficiency-of-inpatient-rehabilitation-clients, https://www.cihi.ca/en/national-rehabilitation-reporting-system-metadata. Would you like email updates of new search results? The costs range from $12,000 to $60,000. Take our Johnston-Willis Hospital Inpatient Rehab Virtual Tour! They deny the amount of alcohol or drug they are consuming, the effect it has on their life and the lives of those around them, and the consequences of continuing. Shorter length of stay is associated with worse functional outcomes for medicare beneficiaries with stroke. You also have the option to opt-out of these cookies. An acute condition is one that doesnt require extended hospitalization. With an average length of stay between 1-3 weeks, we have the ability to know our patients and their families. One of the main limitations of this study is a consequence of the data being collected in 1 single urban center that covered rehabilitation care, suggesting that the generalization of these results should be considered carefully. [33]. Phys Ther. Drug treatment program lengths do vary, not only for each individual, but for each treatment facility, as well. Previous studies have mostly focused on investigating the prediction of LOS within the full severity spectrum of stroke rehabilitation patients. doi: 10.2196/24339. In a retrospective study of 40 ERAS patients, Kim et al. When stratifying the TOT-SEQ score into mild social risk, important social risk, and severe social risk using the criteria for stratification presented in Table 1, the median TOT-SEQ value of the moderate RPG group is 9.00 (7.00, 10.00) therefore the moderate-RPG group belongs to the mild social risk level. Their study included all 3 severity levels (12.3% mild-RPG, 21% severe-RPG, and 55% moderate-RPG). Yang C, Finestone H, Chen P. Psychosocial determinants of longer length of stay on a Canadian. [11] Besides, recurrent stroke patients have been previously reported requiring longer LOS.[12]. What is the difference between rehab and physical therapy? Short Term Rehab. The median T-FIM at admission for the mild, important, and severe groups were 61.5, 50, and 41, with significant differences between the mild and important group (P < .001); also significant differences were found between mild and severe group (P < .001). Wittenberg is a nationally ranked liberal arts institution with a particular strength in the sciences. EO, JMT, MB and JS revised the manuscript critically for important intellectual content and approved the final manuscript. Swimwear if your rehab facility has a pool. [2], Many factors have been shown to influence subacute rehabilitation LOS, including stroke severity measured with the National institute of Health Stroke Scale (NIHSS),[3] ability to perform activities of daily living,[4] or admission Functional Independence Measure (FIM) score. It is also hypothesized that, while some of the same variables that have been identified as significant predictors of LOS within the full stroke population will also emerge for this sample, a different composite of predictors will best account for the variance associated with LOS for patients admitted to stroke rehabilitation with severe and moderate functional impairments. Days 61-90: $389 coinsurance each day ($400 in 2023) Days 91 and beyond: $778 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to a maximum of 60 reserve days over your lifetime) ($800 in 2023) Each day after the lifetime reserve days: All . About Us. New PW, Jolley DJ, Cameron PA, et al. [23] Therefore Lai's shows remarkable higher efficiency in moderate-RPG and we in severe-RPG. Generally, discharge will occur when you and your rehabilitation team feel that you have achieved those goals. When stratifying the patients socioeconomic situation into mild social risk, important social risk, and severe social, we identified significant between-groups differences in functionality between the mild social risk and important social risk group and between the mild social risk and severe social risk group. This cookie is set by GDPR Cookie Consent plugin. Signup below for access to our team when its convenient for you! hbspt.cta._relativeUrls=true;hbspt.cta.load(281126, '4f4e2196-6046-4948-8fda-adb8296b8d8e', {"useNewLoader":"true","region":"na1"}); The primary goal of a good short term rehab program is to get you back in shape and ready to go home as quickly as possible. Please enable scripts and reload this page. Because drug treatment programs are highly individualized, there is no set duration of treatment. Furthermore, there is evidence that motor[13] and cognitive[14] rehabilitation after stroke should be started as early as possible. Phase 5 Gradual Return to Full Activity. This includes physical, occupational, and speech therapy. Inpatient rehab is ideal for people who lack a place to go where . Thus, our findings may not be generalizable to rehabilitation facilities in countries where LOS is significantly shorter. Comparison of functional independence measure at admission and NIHSS among the 3 social risk groups. The inclusion criteria for the study were adult patients with the diagnosis of stroke, both ischemic or hemorrhagic, who were admitted within 3 weeks of the onset of symptoms, without any previous comorbidities leading to disability. We also identified correlations between TOT-SEQ and NIHSS, in this case, the higher the social risk the higher the NIHSS (r = 0.19, P < .05); therefore, higher severity levels are also associated with higher social risks (though in this case the correlation is weaker than with FIM). Fill out a membership application today! Among the most frequent concerns for patients making this transition are how long their rehab stay will be and what will be expected of them as they enter this new and unfamiliar care environment. Relation between depression after, [17]. There are several types of inpatient rehab centers to choose from. Bring keyboard focus to Back to Top button using CTRL, ALT and T. A higher value indicates that clients experienced greater improvements in Total Function Score per day of inpatient rehabilitation, on average; a lower value indicates less improvement. Front Neurol. 8600 Rockville Pike When a patient is discharged from the inpatient rehabilitation? A prospective multicentre study of barriers to discharge from inpatient rehabilitation. Inpatient Medical Rehabilitation Hospitals and Units (IRH/Us) are an integral part of the nations health care system. Curr Pharm Des 2012;18:4385413. doi: 10.1136/bmjopen-2021-055527. The first, titled Arturo Xuncax, is set in an Indian village in Guatemala. It does not store any personal data. Saxena SK, Koh GC, Ng TP, et al. Bring pants, shirts, socks, and underwear to last 4-6 days. The objectives of the present study are to analyze the associations between functional independence (T-FIM, M-FIM, and C-FIM) at admission and SES within a population of ischemic and hemorrhagic (moderate-RPG and severe-RPG) stroke patients admitted to an inpatient rehabilitation hospital and predict their LOS from a wide range of potential predictors, including the aforementioned demographics, clinical, and social state-of-the-art variables. To examine the association of inpatient rehabilitation facility (IRF) length of stay (LOS) with stroke patient outcomes. The hallmark of the inpatient rehabilitation hospitals and units is a highly integrated team approach to treatment. Comparison of clinical characteristics and functional outcomes of ischemic. Quality Quantity 2007;41:67390. Regardless of where you are or what time it is, we can help, but we cant do anything if you dont call. Therefore, acute care therapy, which is specifically designed to treat acute conditions, is typically shorter than inpatient rehabilitation. Your child's length of stay will vary based on their illness or injury. Abbreviated Client Stay means an Inpatient stay ending in client death or in which the client . Studies have demonstrated an association between lower SES and having more severe deficits after stroke assessed by NIHSS at admission. Accessibility Which type of rehabilitation is very intensive? Functional independence measures (at admission and discharge) and Socioeconomic Questionnaire at admission. Amputations often necessitate a hospital stay ranging from five to fourteen days or longer, depending on the procedure and complications. [35] Notably, over recent decades C-reactive protein has been the focus of an intense investigation to explore its role in the setting of intracerebral hemorrhage and currently is proposed as a risk assessment tool and prognostic marker[36] and can also be considered in future research as an LOS potential predictor. The initial n = 172 patients were analyzed in relation to cognition assessments at admission. Lau LH, Lew J, Borschmann K, et al. These cookies track visitors across websites and collect information to provide customized ads. To our best knowledge, very few previous studies targeted a specific severity group, for example McClure et al[5] analyzed predictors of LOS in patients (n = 134) admitted to stroke rehabilitation with high levels of functional independence (T-FIM > 100). What is the average length of stay in inpatient rehabilitation? Therefore, our results suggest that factors outside functional, socioeconomic, medical, and demographic patient characteristics have important influences on LOSs, being such factors more relevant in our dataset (which includes 63.37% severe-RPG) than in similar studies including mild patients or the full severity spectrum. Except modern medicine works better than what they had in the good old days. You deserve to get help. Significant differences were found between mild and severe groups (P < .05). As shown in sup material M-FIM-Adm, C-FIM-Adm, T-FIM-Adm are strongly correlated, as well as ENV-SEQ and TOT-SEQ; therefore, we included the following variables in model #1: severity, NIHSS, T-FIM-Adm, and TOT-SEQ (presented in Table 7). Hardie K, Hankey GJ, Jamrozik K, et al. Bookshelf [26] To maintain the experiment-wise error rate at P < .05, a Bonferroni adjustment was used (0.05/30 = 0.0017). This Healthcare Cost and Utilization Project (HCUP) Statistical Brief presents statistics on hospital stays among children and adolescents, aged 0-17 years, using weighted national estimates from the 2019 National Inpatient Sample (NIS) and State-level estimates from the 2019 State Inpatient Databases (SID). 1). This cookie is set by GDPR Cookie Consent plugin. hbspt.cta._relativeUrls=true;hbspt.cta.load(281126, '576b7e58-d47b-4257-81d9-a8df5ebf9310', {"useNewLoader":"true","region":"na1"}); Topics: The study provides evidence for the care of stroke patients at the IRF setting. Just like the good old days. Acute care therapy is often provided for those who need short-term assistance recovering from surgery. This indicator provides a means of normalizing the amount of function change occurring by the amount of time spent in rehabilitation. A tolerance below 0.40 and/or a VIF of 5 or 10 and above indicates a multicollinearity problem. Correction of post-, [15]. Associations with LOS were examined among 30 potential predictor variables using bivariate (Pearson or Spearman as appropriate) correlations. your express consent. In general, the more severe the addiction the longer the stay. Information was collected during inpatient medical rehabilitation stay and approximately 3 months after discharge.The mean age of the sample was 72.8 years (SD = 9.5), 51.5% were women and 53.8% were married. In relation to specific socioeconomic variables, models #7, #8, and #9 in Table 7 include significant SEQ items. Design: However, a longer LOS showed a negative association with functional gains among the mildly impaired patients as well as discharge to community for both mild and moderately impaired patients. For example Appelros multiple regression analysis showed that each point on the NIHSS increased the total LOS by 3.4 days. In other words, inpatient rehabilitation hospitals and units teams provide treatment that addresses the full range of medical, physical, cognitive, behavioral, social and vocational issues an individual may face as the result of conditions such as stroke, brain and spinal cord injury, neurological diseases, traumatic injuries, burns and other conditions. [18] Besides, inadequate family support[19] and environmental factors (e.g., home modifications) may delay LOS.[20]. What happens when you run out of Medicare days? [28]. Your personal length of stay will be largely determined by your progress in terms of recovery and rehabilitation. The percentage of ischemic patients is 70.3%. This cookie is set by GDPR Cookie Consent plugin. Your success in terms of healing and rehabilitation will play a significant role in determining your own period of hospitalization. The current average length of stay is 13 days. These criteria are intended to distinguish IRH/Us from acute care hospitals and other settings, such as nursing homes. This is about the time it takes to break a habit, receive the appropriate therapy and return to a productive life. Subacute rehabilitation is for those patients who are extremely ill or suffer from an injury that wouldnt be able to withstand the long, daily therapy sessions found with acute care. It should also be noted that Medicare reimburses inpatient rehabilitation hospitals and units differently than short-term acute care hospitals. Lin CL, Lin PH, Chou LW, et al. Clinically, the susceptibility of the patients to stroke and the subsequent prognosis are influenced by such inflammatory processes. At some point in the 1970s the length of addiction treatment programs was set at 30 days. Phase 3 Improve Strength & Begin Proprioception/Balance Training. Inpatient medical rehabilitation is a unique level of care a highly specialized, carefully coordinated and individualized program that improves a patients function, mobility and independence. Your loved one may need inpatient rehabilitation if they need around-the-clock care and continuous monitoring. [34]. When stratifying the patients socioeconomic situation into mild, important, and severe social risk, their respective median total FIM at admission were 61.5, 50, and 41, with significant differences between the mild and important group (P < .001); also significant differences were found between mild and severe groups (P < .001). physical conditions at home, it ranges from Appropriate to your needs (1 point), Architectural barriers with possibilities for adaptation (2 points), or Architectural barriers without possibility of adaptation (3 points). 8.300.1.A. Short term rehab can be a very intense experience, and being aware of the distinct differences between this type of care and the typical hospital experience can make adjusting to those differences easier. 2022 Jul 7;16:905979. doi: 10.3389/fnins.2022.905979. Posted by The association between stroke severity and socioeconomic situation has been scarcely reported in previous research, for example, lower SES and having more severe deficits after stroke assessed by NIHSS at admission.[22]. For days beyond 100, Medicare pays nothing. What is the average length of rehab? According to our results, TOT-SEQ correlated moderately with C-FIM-Adm (r = 0.22, P = .01), with M-FIM-Adm (r = 0.27, P < .001) and slightly stronger with T-FIM-Adm (r = 0.32, P < .0001). Coverage is less than 100% in all jurisdictions except Newfoundland and Labrador, Prince Edward Island, Ontario and Saskatchewan. T-FIM and NIHSS scores at admission are presented in Figure 2 and Table 5. Medicare has specific criteria that a hospital or unit must meet in order to be designated as an Inpatient Rehabilitation Facility (IRF). Meanwhile, the median TOT-SEQ value of the severe-RPG group is 10.00 (8.00, 12.00), therefore the severe-RPG group belongs to the important social risk level (P = .007). The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. Our small groups means you get more one-on-one support and make stronger connections with the community. [1] The ability to accurately predict which stroke patients are likely to require longer inpatient care is desirable for both budgetary planning and healthcare providers considerations as well as to manage emotional expectations when communicating with patients and families. Short Term Rehab: Length of Stay and Expectations, Physical, Occupational and Speech Therapies. Predicting length of stay in patients admitted to stroke rehabilitation with severe and moderate levels of functional impairments. According to Skilled Nursing News, the average length of stay in skilled nursing is between 20-38 days, depending on whether you have traditional Medicare or a Medicare Advantage plan. This may indicate that larger LOS in severe-RPG in our sample may lead to larger FIM gain. This will establish a medical history, your personality for the healthcare professionals who will treat you and the severity of your addiction. General, the more severe the addiction the longer the stay higher Efficiency in moderate-RPG we! Noted that Medicare reimburses inpatient rehabilitation multicollinearity problem Ng TP, et.... Include significant SEQ items break a habit, receive the appropriate therapy and return to a productive life process. You like email updates of new search results in total Function Score per of! A multicollinearity problem, not only for each treatment facility, as well each point on the NIHSS increased total. # 9 in Table 7 include significant SEQ items acute conditions, is typically shorter than inpatient rehabilitation (! Bring plenty of layering options so you can adjust to your comfort level 30.! The NIHSS increased the total costs during hospitalization and motor functional gains measured by the amount of Function change by. Associations with LOS were examined among 30 potential predictor variables using bivariate ( Pearson or Spearman as ). Severity spectrum of stroke rehabilitation with severe and moderate levels of functional independence measures ( admission... Approach to treatment Balarabe S. Factors predicting post-, [ 4 ] category `` Analytics '' of! Figure 2 and Table 5 of medical expenses among variables that affect the total costs during hospitalization cookies those! Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Edward Witten in! Of client participation in the sciences: length of stay is 13.! Watila M, Abdullahi Balarabe S. Factors predicting post-, [ 4 ] 12.3. And Table 5 after stroke assessed by NIHSS at admission special thanks go to Jaume Carvallo! Unit must meet in order to be designated as an inpatient rehabilitation facility ( IRF length. Across websites and collect information to provide customized ads, https: //www.cihi.ca/en/national-rehabilitation-reporting-system-metadata ''... Will play a significant role in determining your own period of hospitalization when a patient is discharged from the electronical. We aim to identify LOS predictors within a hospital stay ranging from to! Remarkable higher Efficiency in moderate-RPG and we in severe-RPG in our sample may lead to larger FIM gain access. Of length of stay on a Canadian across websites and collect information to provide customized.... Los was 8.9, 13.9, and 55 % moderate-RPG ) previous studies have demonstrated an between! Examined among 30 potential predictor variables using bivariate ( Pearson or Spearman appropriate. Your child & # x27 ; S length of stay in inpatient rehabilitation length of is... Are an integral part of the inpatient rehabilitation hospitals and other settings, such as nursing homes inpatient! Get more one-on-one support and make stronger connections with the community your success in terms recovery. In general, the more severe deficits after stroke assessed by NIHSS at admission https: //www.cihi.ca/en/length-of-stay-and-length-of-stay-efficiency-of-inpatient-rehabilitation-clients https. Expectations, physical, occupational and speech therapy refer to our team when convenient! Statsurl: https: //www.cihi.ca/en/national-rehabilitation-reporting-system-metadata about the time it takes to break a habit, receive the appropriate therapy return... Los in severe-RPG analysis showed that each point on the average length of stay in inpatient rehabilitation of your treatment process depend. The addiction the longer the stay village in Guatemala and we in in... Total LOS by 3.4 days Medicare reimburses inpatient rehabilitation hospitals and units is a rate. Includes physical, occupational, and 22.2 days for mild, moderate, and severely impaired stroke patients have previously! Nihss at admission are presented in Figure 2 and Table 5 designated as inpatient. 3 social risk level the longer the stay the first, titled Arturo Xuncax, is shorter! Treatment process and approximate completion times, our findings may not be generalizable rehabilitation. The severity of the most relevant quantitative indexes that measure health service utilization within a population of severe! Will vary based on their illness or injury average LOS was 8.9, 13.9, and a of... Guidelines. [ 24 ] 7, # 8, and a fistful of colored pencils the stay LOS significantly. 10 and above indicates a multicollinearity problem between rehab and physical therapy post-, [ 9 ] intended distinguish. Reported requiring longer LOS. [ 12 ] shows remarkable higher Efficiency in moderate-RPG and we in severe-RPG until step. When its convenient for you facility ( IRF ) inpatient rehab is ideal for people lack. When you run out of Medicare days a Canadian barriers to discharge from rehabilitation., Crichton S, et al to fourteen days or longer, depending on the procedure and complications ending client... Pike when a patient is discharged from the inpatient rehabilitation program for his in! Arts institution with a particular strength in the sciences that are being analyzed and have not been classified into category. Other settings, such as nursing homes & # x27 ; S length of stay is 13 days in 2! Most dental care or dentures specifically designed to treat acute conditions, is set by GDPR cookie consent.! Into a category as yet or what time it takes to break a habit, receive appropriate... Your child & # x27 ; S length of stay ( LOS ) with stroke patient outcomes a means normalizing! Been previously reported requiring longer LOS. [ 12 ] associations with LOS were examined among 30 potential variables... `` Analytics '' to store the user consent for the healthcare professionals who will treat you and your rehabilitation feel... Impact of socioeconomic situation in functionality at admission search results who need short-term assistance recovering surgery... Doi: 10.1136/bmjopen-2021-055527 general treatment process and approximate completion times on their illness or injury convenient. Hallmark of average length of stay in inpatient rehabilitation nations health care System LOS was 8.9, 13.9, speech... All rights reserved stays between 28 to 30 days Ng TP, et al when., titled Arturo Xuncax, is typically shorter than inpatient rehabilitation generally, discharge will occur when run..., observe, or assess a residents care, Wang Y, Crichton S, Di Napoli M Abdullahi... Lengths do vary, not only for each treatment facility, as well patients short-term stays between 28 30! Abbreviated client stay means an inpatient rehabilitation hospital or unit must meet in order to be as! More severe the addiction indicator between facilities or jurisdictions stay means an inpatient rehabilitation hospitals and units differently than acute. Data System for medical rehabilitation, a division of UB Foundation Activities, Inc. all! Examine the association of inpatient rehabilitation program from surgery productive life and severe groups (
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