Find it on PubMed, Kucukdeveci, A. Poor to excellent predictive validity was found between the domains of the Stroke Impact Scale and the FIM (0.26-0.70, p < 0.05). Find it on PubMed. A task force representing the US rehabilitation community set about developing the Uniform Data System for Medical Rehabilitation (UDSMR) - a minimum data set that includes a rating scale to measure function, the Functional Independence Measure (FIM instrument). This report should be run frequently. Welcome to the UDSMR software entry portal. J Neurosci Nurs 32(1): 17-21. Find it on PubMed. Find it on PubMed, Lundgren-Nilsson, Å., Tennant, A., et al. 54(10): p. 564-8. 13 motor items) to obtain the average ratings on the 1 to 7 scale, Mean (SD) Cognitive FIM Scores at Rehabilitation Admission, Discharge, and 1, 2, and 5 Years Postinjury: All Cases at AIS Grades A, B, C, Divide the score by 5 (i.e. Signup today for our Newsletter and get informed on any new releases we may have. (1987). 900 of these are inpatient rehab facilities (IRFs) in the United States that use UDS reporting, credentialing, auditing, training, and consulting services. 41;dressing) to excellent (0.77;mobility) with the average absolute item % agreement from 7l.l% (Dressing) to 90.6% (transfers). (2006). Find it on PubMed, Price, G. L., Kendall, M., et al. Find it on PubMed, Pollak, N., Rheault, W., et al. This report replaces the FIM instrument-based Scoring Report. "Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke." 2004; n = 359; mean age = 80.8 (4.7) years; time between stroke onset and admission = 22.3 (14.6) days, Acute Stroke). Int J Rehabil Res 26(4): 271-277. (2008). et al, 2014) The aim of this study was to explore the validity of the Cognitive Behavioral Rating Sale ( CBRS) with the FIM discharge data on 100 patients, mean age of 72.2 (± 10.9) years old and 61.0 (±61.2) days post-stroke. Yang, S.Y. (2010). There was excellent, positive and significant correlations with performance at admission and discharge on the FIM (total and motor) with the Clinical Outcome Variables Scale [COVS] (0.823 and 0.771 respectively). Find it on PubMed, Keith, R. A., Granger, C. V., et al. Poor to excellent predictive validity was found between the domains of the Stroke Specific Quality of Life Scale and the FIM (0.22-0.63, p < 0.01). 1-844-355-ABLE. (Ward et al 2011) On admission to the acute rehabilitation ward, the FIM and the STREAM were found to be highly correlated in thirty patients acute post ischemic stroke. The SRM (admission to discharge change score) was 2.34 for the motor FIM (P<0.0001). Secondary data analysis from 893 medical rehabilitation facilities located in the United States that contributed information to the Uniform Data System for Medical Rehabilitation (UDSmr) from January 2000 through December 2007. Adv Clin Rehabil 1(3503663): 6-18. A point system was assigned to each of the above variables, such that the clinician could enter in the above information and determine the likelihood of a patient achieving a grade IV. (2013). Description of Measure: The severity of care-recipient functioning and impairments may be determined with the Functional Independence Measure (FIMSM; Uniform Data Set for Medical Rehabilitation, 1996). (Caglar, 2014) A retrospective analysis on 142 patients post-stroke that went to an IRF. "Evaluating the effectiveness of stroke rehabilitation: choosing a discriminative measure." The COVS and FIM had excellent correlation (-0.61,-0.69)) with length of stay (P<0.01), such that lower scores at admission meant shorter length of stay. Participants with an initial Total FIM score ≤ 109 at admission, improved significantly more (P = 0.006) on the Stroke Impact Scale and on measures of activities of daily living and instrumental activities of daily living at completion of the intervention. A secondary Rasch analysis combning the FIM and the Nottingham Extended Activities of Daily Living (NEADL) assessment was done on 188 participants (average of 19.45 ± 15.96 months post-stroke) from an upper extremity intervention trial. Today, UDS maintains the world’s largest government-independent repository of rehabilitation outcomes and IRF-PAI data. Uniform Data System for Medical Rehabilitation (UDSMR), a division of University at Buffalo Foundation Activities, Inc., is a not-for-profit corporation affiliated with the University at Buffalo. Find it on PubMed, Salter, K., et al. (Shindo et al, 2015) To explore the concurrent validity of the FIM scale with the Simple Test of Evaluation Hand Function [STEF], 34 inpatients (33-86 years of age) sub acute post stroke (less than 60 days post episode) were evaluated at admission. Provides a uniform system of measurement for disability based on the International Classification of Impairment, Disabilities and Handicaps; measures the level of a patient's disability and indicates how much assistance is required for the individual to carry out activities of daily living. Granger CV(1), Markello SJ, Graham JE, Deutsch A, Reistetter TA, Ottenbacher KJ. Average LOS decreased a total of 3.8 days (from 17.9 in 2002 to 16.1 days in 2007), Mean admission FIM scores decreased a total of 4.4 points ( from 57.2 to 53.8 points). Arch Phys Med Rehabil 75(2): 133-143. Physical therapy 88(7): 812-819. Segal, M. E., Ditunno, J. F., et al. Find it on PubMed, Huang, Y., Wu, C. (2010). (2006). (1998). Excellent intra rater reliability was observed within the FIM+FAM-J full scale, motor subscale and cognitive subscale ((0.83, 0.80 and 0.98 respectively). (2003). All correlations significant at p < 0.001. Find it on PubMed, Tur, B. S., Gursel, Y. K., et al. UDS offers a wide range of products and services which enable rehabilitation providers to document the severity of patients disability and the results of medical rehabilitation in a uniform way. Yavuz, N., Tezyurek, M., et al. ( 2011) Systematic review of outcome measures used in the evaluation of robot-assisted upper limb exercise in stroke. If such monitoring reveals possible evidence of criminal activity, UDSMR/Facility may provide the evidence of such activity to law enforcement officials. Enter your zip code . This is possible by data contribution from over 1,400 rehabilitation facilities worldwide. (1996). Clin Rehabil 29(7): p. 694-704Find it on PubMed. (2013) Shorter length of stay is associated with worse functional outcomes for medicare beneficiaries with stroke. (Beninato et al, 2006; n = 113; mean age = 63.9 (14.3) years; mean FIM score at admission = 63.4 (24.4) points, Acute Stroke), (Inouye et al, 2001; n = 243; mean age = 64 (11) years; assessed at admission and discharge, Acute Stroke), (Tur et al, 2003; n = 102; mean age = 61.6 (10.9) yeas; 45-60 minutes of daily physical and occupational therapy, speech therapy daily as needed; Turkish sample, Acute Stroke), (Hsueh et al, 2002; n = 118; mean age = 67.5 (10.9) years; measured at inpatient rehab admission and discharge, Acute Stroke), (Denti et al. The FIM Motor Scale had high/excellent reliability (test-retest and inter-rater reliability) and high/excellent validity (>0.75) However, the FIM Motor Scale had only moderate responsiveness (0.4-0.74), with chronic stroke survivors with severe impairments (persisting beyond 6 months) demonstrating little change on the FIM Motor Scale. (Cooke, 2010) One hundred and ninty-seven, first stroke participants were included an average of 45.4 ± 67.6 days post-stroke to examine the relationship of clock drawing post-stroke. Cooke, D.M., Gustafsson, L., et al. Find it on PubMed, Hobart, J. C., Lamping, D. L., et al. This system is restricted solely to authorized users of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc., a New York not-for-profit corporation (“UDSMR”) for legitimate business purposes only. The FIM instrument was based on the results of a literature review of published and unpublished measures as well as input provided by an expert panel. Find it on PubMed, Donaghy, S. and Wass, P. J. The software version provides patient-level details. Rehabilitation providers across the postacute care continuum have found success with UDS as it addresses their needs. Working with The State University of New York at Buffalo, he founded Uniform Data System for Medical Rehabilitation (UDSMR) in 1987. The use of this system may be monitored and recorded for administrative and security reasons. that contributed information to the Uniform Data System for Medical Rehabilitation from January 2000 through December 2007 was performed. Scores are generally rated at admission and discharge. (2008). The adjusted R2 was 0.146 (p = 0.001) for C-FIM gain and the significant factors were the admission C-FIM (B = -4.068, SE = 1.048, β = -0.369, p = 0.000) and if the patient had diabetes Mellitus (B = 36.226, SE = 17.904, β = -0.175, p = 0.045). Ellis, T., Katz, D. I., et al. Coster, W. J., Haley, S. M., et al. Paraplegia 31(7): 457-461. “The reliability and validity of the World Health Organization Disability Assessment Schedule (WHODAS-II) in stroke.” Disability & Rehabilitation 35(3): 214-220. "Do co-morbidities and cognition impact functional change and discharge needs in Parkinson disease?" (2001). Find it on PubMed, Donnelly, C., Eng, J. J., et al. "Outcome measures for gait and ambulation in the spinal cord injury population." Adequate to Excellent convergent validity was found. This analysis reinforces that the FIM Motor Scale contains clinically important items. Find it on PubMed, Dromerick, A. W., Edwards, D. F., et al. (2015) Validation of the new Lucerne ICF based Multidisciplinary Observation Scale (LIMOS) for stroke patients. The final model contained the following variables: age, initial physical grade, initial cognitive stage, renal failure, nutritional compromise, type of rehabilitation services, and recovery time between admission and discharge assessments. (2013). The uniform data system for medical rehabilitation: Report of patients with lower limb joint replacement discharged from rehabilitation programs in 2000-2007. Marciniak, C. M., Choo, C. M., et al. Find it on PubMed, Heinemann, A. W., Linacre, J. M., et al. Miki, E., et al. (2002). Click on the database link to run the search. (2006). “Predictors of change in quality of life after distributed constraint-induced therapy in patients with chronic stroke.” Neurorehabilitation and Neural Repair 24(6): 559-566.Find it on PubMed, Inouye, M., Hashimoto, H., et al. -Uniform Data System for Medical Rehabilitation Conceptual Basis -the FIM measures severity of patient disability (need for assistance, time and energy from another) "Evidence-based measurement: which disability scale for neurologic rehabilitation?" Ng, Y. S., Jung, H., et al. “Rasch balidation of a combined measure of basic and extended daily life functioning after stroke.” Neurorehabilitation and Neural Repair 27(2):125-132. Find it on PubMed, Kohler, F., Dickson, H., et al. OBJECTIVE: To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after traumatic brain injury. Chen, H., Wu, C., et al. (1)Uniform Data System for Medical Rehabilitation, Buffalo, New York, USA. The SRM was 1.36. (2006). (2006). Although the FIM instrument was originally developed to address issues of sensitivity and comprehensiveness for Barthel Index (BI), subsequent studies demonstrated that psychometric properties of the FIM instrument and BI are similar (Hsueh et al, 2002; Stroke EDGE task force), Questions on the uni-dimensionality of the FIM Motor Scale have been raised. A linear regression was run to determine which factors contributed to Motor-FIM (M-FIM) gain and Cognitive-FIM (C-FIM) gain. The area under the ROC curve was adequate of the derivation and validation cohorts (0.84 and 0.83, respectively). Find it on PubMed, Ditunno, J. F., Jr., Barbeau, H., et al. J Rehabil Med 43(3): p. 181-9. (Huang, 2010) Fifty-eight participants an average of 17.85 (range, 7-88) months post-stroke participated in distributed constraint induced therapy two hours per day, five days a week for three weeks. J Spinal Cord Med 33(4): 379-386. "A comparison of two functional tests in quadriplegia: the quadriplegia index of function and the functional independence measure." J Rehabil Med 38(4): 237-242. "Cross-diagnostic validity in a generic instrument: an example from the Functional Independence Measure in Scandinavia." (Yang et al, 2013). The WeeFIM® instrument consists of a minimal data set of 18 items that measure functional performance in three domains: self-care, mobility, and cognition. All results are likely affected by changes in the definition for program interruption and procedures for FIM data collection. Comments from StrokEdge Task Force Members, The FIM instrument must be administered by a trained and certified evaluator and ideally scored by consensus with a multi-disciplinary team. Scores range from 18 (lowest) to 126 (highest) indicating level of function. "A validation of the functional independence measurement and its performance among rehabilitation inpatients." Find it on PubMed, Stineman, M. G., Shea, J. 2010 Clinical Outcome Variables Scale: A retrospective validation study in patients after stroke. and K.H. "Assessing traumatic brain injury outcome measures for long-term follow-up of community-based individuals." A., et al. Find it on PubMed, Denti, L., Agosti, M., et al. No instrument (including the FIM) assessed all of the commonly affected cognitive domains after a stroke, Strong significant intercorrelations were found between the Occupational Therapy Cognitive Assessment (LOTCA), the MMSE and the FIM-Cognitive subscale. The adjusted R2 was 0.173 (p = 0.000) for M-FIM gain and the significant factors were the admission M-FIM (B = 0.809, SE = 0.199, β = -0.446, p = 0.000) and if the patient had diabetes Mellitus (B = 14.269, SE = 6.775, β = -0.177, p = 0.037). The uniform data system for medical rehabilitation: report of patients with lower limb joint replacement discharged from rehabilitation programs in 2000-2007. Although the FIM instrument was originally developed to address issues of sensitivity and comprehensiveness for Barthel Index (BI), subsequent studies demonstrated that psychometric properties of the FIM instrument and BI are similar (Hsueh et al, 2002; Stroke EDGE task force), “The FIM instrument does not contain key activity or participation elements of patient recovery important for measuring outcome and burden of illness (e.g., return to work, relationships, social and recreational pastimes, etc. "Prediction of rehabilitation outcomes with disability measures." Find it on PubMed, Kay, E., Deutsch, A., et al. (2010) Deriving a Barthel Index from the Northwick Park Dependency Scale and the Functional Independence Measure: are they equivalent? J Rehabil Med 42(7): p. 609-13.Find it in PubMed, Sasaki, T., et al. 265-278. (1986). Barthel Index can be measured directly or estimated from the Northwick Park Dependency Scale (NPDS) or the FIM. With 30+ sites in Illinois, we may be closer than you think! Excellent criterion validity was measured between the FIM+FAM-j full scale and the Motor Scale with the Barthel Index [ BI], the National Institutes of Health Stroke Scale [NIHSS], modified Rankin Scale [mRS] and Brunnstrom Recovery State [BRS L/E] (r=0.83, -0.75, -0.82 and 0.79 respectively with the total scale and 0.88, -0.77, -0.87, and 0.83 respectively for the motor scale), Adequate criterion validity of the FIM+FAM-J cognitive scale with the BI, NIHSS, mRS and BRSL/E (0.56, -0.53,-0.54 and 0.53 respectively). In 2020, your cash gifts may also favorably impact your taxes, thanks to provisions in the CARES Act. Eur J Phys Rehabil Med 45(4): 479-485. The Spearman Rank Correlation Coefficient was excellent between the CBRS and the FIM total Score (-0.70; p<0.01), the Cognitive FIM (-0.72; P<0.01), and the Motor FIM (-0.63; p<0.01) for patients post stroke. 13 The UDSMR includes information for more than 13 million patient records from 1987 to 2009 for approximately 1400 rehabilitation hospitals or facilities. We have reviewed nearly 300 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others. (2001). Find it on PubMed, Lawton, G., Lundgren-Nilsson, Å., et al. "Perceived causes of change in function and quality of life for people with long duration spinal cord injury." "Agreement of functional independence measure item scores in patients transferred from one rehabilitation setting to another." "The functional independence measure in spinal cord injured patients: comparison of questioning with observational rating." Neurorehabil Neural Repair 21(6): 539-550. Paraplegia 31(8259324): 622-631. "Determination of the minimal clinically important difference in the FIM instrument in patients with stroke." 2010 ; Vol. A., Sehim, K., et al. Spinal Cord 35(1): 22-25. Find it on PubMed. (Lungren Nilsson et al 2011). "The reliability of the functional independence measure: a quantitative review." "Effectiveness of an inpatient multidisciplinary rehabilitation program for people with Parkinson disease." At the core of The FIM System ® is the FIM ® instrument, a valid and proven rating tool that can be administered quickly and uniformly. Your gift of Ability affects everything that we do every day at Shirley Ryan AbilityLab. 5 cognitive items) to obtain the average ratings on the 1 to 7 scale, Mean Motor FIM Scores at Rehabilitation Admission and Discharge by Level and Completeness of Injury, *All cases with level and completeness data available; These are not all the same sample of individuals across admission and discharge, (Kay et al, 2010; n = 1780; discharged from one of 479 inpatient rehab facilities in US; age 65-74 years; diagnosed with incomplete paraplegia, Acute SCI), Demographic, rehabilitation stay, and discharge FIM self-care and mobility subscore by etiology of incomplete paraplegia, (Grey and Kennedy, 1993; n = 40; mean age at time of injury = 29.6 (9.57) years; mean time post-injury at discharge = 24.75 (8.57) weeks, Chronic SCI), (Karamehmetoglu et al, 1997; n = 50; mean age = 33.94; 22% with tetraplegia and 78% with paraplegia, SCI), (Kucukdeveci et al, 2001; FIM in Turkey; n = 62; mean age = 32.7; mean time since injury = 16.4 months; with cervical injury 21%; with thoracic injury 42%; with lumbar 37%, Chronic SCI), (Segal et al, 1993, n = 57, discharging from acute care and admitting to rehab hospital; data collected within a max of 6 days, Subacute SCI), (Kucukdeveci et al, 2001; FIM instrument version in Turkey, Chronic SCI), (Stineman et al, 1996; with nontraumatic SCI, n = 2,609, mean age = 64.6 years; with traumatic SCI, n = 1,831, mean age = 43.0 years, sample from Uniformed Data System for Medical Rehabilitation [UDSMRSM], SCI), (Ditunno, et al., 2007; n = 141, mean age = 32 years; Entered into study within 8 weeks of onset of SCI; data taken at entry, 3 and 6 and 12 months, subjects required to have score of < 4 on the Locomotor FIM (LFIM) at entry, Acute SCI), (Donnelly et al, 2004; n = 41; mean age = 49(118.1); mean time since injury = 52 (73.1) days; with paraplegia, n = 18; with tetraplegia, n = 20; Incomplete, n = 27; complete, n = 11, SCI), (Fujiwara et al, 1999; n = 14; C6 level of injury, mean age = 30.7 years; mean length of time from injury = 462.0 days, Chronic SCI), (Saboe et al, 1997; n = 160; mean age = 30 (13) years; assessed at admission, discharge, and 2 years post injury; Length of stay at tertiary care hospital 144 (111) days Chronic SCI), (Yavuz et al, 1998; n = 29; mean age = 37 years; mean time between onset and rehab admission = 20 weeks, mean length of stay in inpatient rehab = 18 weeks, Subacute SCI). American Journal of Physical Medicine & Rehabilitation 90(4): 272-280. (2012). Find it on PubMed. Sivan, M., et al. interpersonal activities, [mobility and self-care,; 2}. Arch Phys Med Rehabil 80(11): 1471-1476. Difficult items on motor portion of the scale discriminated better among higher functioning patients, Raw FIM scores (as opposed to score subjected to Rasch analysis) may underestimate change, Simple 2-factor model of the FIM instrument may not be sufficient to describe disability following stroke (66% of variance), May not adequately measure within patient change whereas a 3-factor model (self-care, cognition and elimination) accounted for more variance (74.2%), Minimal ceiling effect: 16% achieved ceiling on FIM Motor Subscale during inpatient rehabilitation, No floor or ceiling effects at either time using the FIM instrument, Minimal floor effect at admission to inpatient rehab (5.8%) and at discharge from inpatient rehab (3.5%), No ceiling effect at admission to inpatient rehab (0%) and at discharge from inpatient rehab (0%), A comparison of simultaneous performance of the WISCI and the LFIM indicated 1 FIM level per multiple WISCI levels, 56% of the variance of FIM scores 2 years post injury is accounted for with ASIA admission light touch scores with age being the next largest contributing factor, FIM – Locomotion item was rated as Valid/Useful by 6%, Useful But Requires Validation or Changes by36% , and Not Useful or Valid for Research in SCI by 58%. Turner-Stokes, L., et al. Granger, C. V., Hamilton, B. Patients with lower levels of participation were more likely to be functionally dependent, cognitively impaired and have more fatigue. (Lundgren-Nilsson, 2006; Kucukdeveci A, 2001), Subjective reports of pain (15.5%) and loss of strength (17.9%) were most frequently identified as causes of change in FIM instrument activities and quality of life for individuals with chronic SCI (Price et al. Neurosci Nurs 32 ( 1 ), Appropriate for use in intervention studies. Follow-Up of community-based individuals. outcomes with disability measures. is the largest nongovernmental national registry inpatient! Have subscriber resources and online workshops that help optimize your efficiency CV ( 1:! 2014 ) a retrospective analysis of 4020 veterans receiving consultative or comprehensive rehabilitation care.! From the Northwick Park Dependency Scale and the Tinetti POMA rehabilitation ( UDSMR ) in 1987 G. al! Eng, J. 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