Evidence map›Paper›PMID 27026580›Full record

ArticleArchives of physical medicine and rehabilitation2016

Association Between Facility Type During Pediatric Inpatient Rehabilitation and Functional Outcomes.

Molly M Fuentes, Susan Apkon, Nathalia Jimenez, Frederick P Rivara

Abstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  5. Article
  6. Functional Trajectory of Childhood Stroke in the Inpatient Rehabilitation Setting.Archives of rehabilitation research and clinical translation · 2025
    Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Molly M FuentesDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA; Seattle Children's Hospital, Seattle, WA; Harborview Injury Prevention and Research Center, Seattle, WA. Electronic address: mollyfue@uw.edu.
Susan ApkonDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA; Seattle Children's Hospital, Seattle, WA.
Nathalia JimenezSeattle Children's Hospital, Seattle, WA; Harborview Injury Prevention and Research Center, Seattle, WA; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA.
Frederick P RivaraSeattle Children's Hospital, Seattle, WA; Harborview Injury Prevention and Research Center, Seattle, WA; Department of Pediatrics, University of Washington, Seattle, WA; Department of Epidemiology, University of Washington, Seattle, WA.

Funding

Pediatric Injury Research Training ProgramT32HD057822 · NICHD · UNIVERSITY OF WASHINGTON · PI CAROLYN A MC CARTY, Ali Rowhani-Rahbar · 2010 to 2026
$4.0M
Disparities in Disability after Traumatic Brain Injury for Hispanic ChildrenK23HD078453 · NICHD · UNIVERSITY OF WASHINGTON · PI JIMENEZ, NATHALIA · 2014 to 2018
$713k
NICHD NIH HHS K23 HD078453NICHD NIH HHS T32 HD057822
6 · The paper itself

Abstract

objectiveTo compare functional outcomes between children receiving inpatient rehabilitation at children's hospitals and those at other facilities.

designRetrospective cohort study.

settingInpatient rehabilitation facilities.

participantsChildren (N=28,793) aged 6 months to 18 years who received initial inpatient rehabilitation.

interventionsNot applicable.

main outcome measuresTotal, cognitive, and motor developmental functional quotients (DFQs; which is the WeeFIM score divided by age-adjusted norms and multiplied by 100) at discharge from inpatient rehabilitation and WeeFIM efficiency (the change in WeeFIM score from admission to discharge divided by the length of the rehabilitation stay), adjusting for age, sex, race, insurance, region, admission function, impairment type, discharge year, and length of stay.

resultsA total of 12,732 children received rehabilitation at 25 children's hospitals and 16,061 at 36 other facilities (general hospitals or freestanding rehabilitation hospitals). Adjusting for clustering by facility, patients at children's hospitals had a lower cognitive DFQ at admission (difference between children's hospitals and other facility types, -3.8; 95% confidence interval [CI], -7.7 to -0.1), a shorter length of stay (median, 16d vs 22d; P<.001), and a higher WeeFIM efficiency (difference, 0.63; 95% CI, 0.25-1.00) than did children at other facility types. Rehabilitation in a children's hospital was independently associated with a higher discharge cognitive DFQ (regression coefficient, 2.3; 95% CI, 0.3-4.2) and more efficient rehabilitation admissions (regression coefficient, 0.3; 95% CI, 0.1-0.6).

conclusionsChildren who receive inpatient rehabilitation at children's hospitals have more efficient inpatient rehabilitation admissions, a shorter median length of stay, and a slight improvement in cognitive function than do children at other facility types.

Indexed as

Physical Therapy ModalitiesAdolescentChildChild, PreschoolChildren with DisabilitiesCognitive DysfunctionEfficiency, OrganizationalFemaleHospitals, PediatricHumansInfantInpatientsLength of StayMaleOutcome Assessment, Health CareRecovery of FunctionChildHospitalsRehabilitationTreatment outcome

Identifiers

PMID27026580
PMCPMC5330160

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.