Rehabilitation after XXXX : development of a predictive score (RALLI score).

@entity1 @entity174 @entity542 @entity3140 @entity6250 @entity130
BACKGROUND: The purpose of our study was to identify the risk factors associated with the need for inpatient rehabilitation after @entity6250 to develop a predictive scoring tool for early identification of such @entity1 . METHODS: We followed a prospective cohort of @entity1 admitted to a level 1 @entity130 centre. Data were collected through chart review and a self-administered questionnaire on sociodemographics, @entity1 living environment, pretrauma status, injury and treatment received. We compared @entity1 who were discharged home with those going to rehabilitation after acute care. Analysis consisted of bivariate comparisons and logistic regression. RESULTS: Our study included 160 @entity1 with a mean age of 56 years. A total of 40% were discharged to an inpatient rehabilitation centre. Factors associated with inpatient rehabilitation were low preinjury physical health status, concomitant injury of the upper limbs, bilateral @entity6250 , the use of a walking aid before injury, @entity542 . We created a predictive score using the top 3 risk factors: @entity3140 , bilateral @entity6250 and presence of femoral or pelvic @entity174 . The chance of needing inpatient rehabilitation rose from 14% with 0 factors to 47% with 1 factor and 96% with 2 factors. CONCLUSION: Rehabilitation planning should begin for @entity1 exhibiting at least of 3 risk factors at the time of admission to acute care. Prospective validation of the tool is needed, but it has the potential to orient the multidisciplinary team's decision on rehabilitation needs postdischarge.
