caa a22 4500 467916594 CHVBK 20180406152904.0 cr unu---uuuuu 170328e20060501xx s 000 0 eng 10.1007/s11205-005-5554-z doi (NATIONALLICENCE)springer-10.1007/s11205-005-5554-z Does Change in Functional Performance Affect Quality of Life in Persons with Orthopaedic Impairment? [Elektronische Daten] [Glenn Ostir, Ivonne-Marie Berges, Pamela Smith, David Smith, Janida Rice, Kenneth Ottenbacher] Background and Purpose: Examine the association between change in functional status and quality of life for individuals with orthopaedic impairments approximately 90days after discharge from in-patient medical rehabilitation. Methods: A retrospective study from 2001 to 2002 using information from the IT HealthTrack database. The study included 3751 individuals with orthopaedic impairments aged 40 or older discharged from in-patient medical rehabilitation. Primary measures included motor and cognition functional status and quality of life. Data analyses included descriptive statistics, χ2 analysis, and cumulative logit models. Results: The sample was 49.4% female and 81.1% non-Hispanic white. Most patients reported high levels of quality of life after hospital discharge. Change in functional status showed a significant association with quality of life with and without adjustment for possible confounding factors. Each one-point increase in total Functional Independence Measure (FIM) score was associated with an 8% increased odds ratio (OR 1.08, 95% CI: 1.07-1.09) of higher quality of life. Each one-point increase in motor and cognition FIM score was associated with an 8% (OR 1.08, 95% CI: 1.07-1.09) and 29% (OR 1.29, 95% CI: 1.24-1.35) increased odds ratio of higher quality of life, respectively. Of the 6 FIM domains, self care (OR 1.05, 95% CI: 1.03-1.06) and locomotion (OR 1.07, 95% CI: 1.03-1.11) were significantly associated with higher quality of life. Conclusions: Among individuals with orthopaedic impairments, a positive change in functional status was significantly associated with higher quality of life. The findings suggest the potential value of rehabilitation programs that focus on improving functional status. Springer, 2006 Ostir Glenn Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut Berges Ivonne-Marie Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut Smith Pamela IT HealthTrack, Buffalo, NY, USA aut Smith David IT HealthTrack, Buffalo, NY, USA aut Rice Janida Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA aut Ottenbacher Kenneth Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut Social Indicators Research Kluwer Academic Publishers 77/1(2006-05-01), 79-93 0303-8300 77:1<79 2006 77 11205 https://doi.org/10.1007/s11205-005-5554-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11205-005-5554-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ostir Glenn Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut NATIONALLICENCE 700 1- Berges Ivonne-Marie Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut NATIONALLICENCE 700 1- Smith Pamela IT HealthTrack, Buffalo, NY, USA aut NATIONALLICENCE 700 1- Smith David IT HealthTrack, Buffalo, NY, USA aut NATIONALLICENCE 700 1- Rice Janida Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA aut NATIONALLICENCE 700 1- Ottenbacher Kenneth Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA aut NATIONALLICENCE 773 0- Social Indicators Research Kluwer Academic Publishers 77/1(2006-05-01), 79-93 0303-8300 77:1<79 2006 77 11205 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer