OBJECTIVE: To develop a measure suitable for retrospective analysis of qualitative @entity1545 outcome data, the Functional Independence Level (FIL), and document its reliability, validity, and utility. DESIGN: Retrospective analysis of existing records, with inclusion based on availability of records, and quantitative or qualitative documentation of functional status at a minimum of 1.5 years after injury. SETTING: Statewide acute and postacute rehabilitation facilities, as part of a State Head Injury Program. @entity1 : A total of 338 individuals, with documented moderate to severe @entity131 ; primarily males ages 16 to 45. MAIN OUTCOME MEASURES: @entity717 ( @entity717 ) at discharge from primary rehabilitation, Living Situation and Functional Independence Level coded from information in postacute rehabilitation reports, at an average of approximately 6 years after injury. RESULTS: Inter-rater reliability coefficients for FIL ratings extracted from rehabilitation records, and between retrospective and in vivo assessments were highly significant. @entity717 scores at discharge from primary rehabilitation predicted a significant amount of variance in FIL scores at an average of 5 years after injury, and @entity717 scores remained a stable and significant predictor of FIL scores as the time period between discharge from rehabilitation and outcome ratings increased to 10 years after injury. FIL ratings were significantly lower for individuals living in residential facilities than those living with their families, as compared to living alone. CONCLUSIONS: The FIL is a reliable and useful tool for retrospective and prospective assessments of rehabilitation outcome. Gains made during primary rehabilitation by @entity1 with severe @entity131 are generally maintained at long-term follow up. Retrospective ratings using the @entity717 and FIL can help guide postacute rehabilitation planning within state or regional @entity542 programs.

Retrospective assessment of rehabilitation outcome after XXXX : development and utility of the functional independence level.

@entity1545 :: ('MESH:D020214', 'Disease') :: ['brain injury'] @entity1 :: ('9606', 'Species') :: ['PARTICIPANTS', 'people'] @entity131 :: ('MESH:D001930', 'Disease') :: ['traumatic brain injury'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury'] @entity717 :: ('MESH:D009069', 'Disease') :: ['Disability Rating Scale', 'DRS']
@entity131 :: (MESH:D001930,Disease) :: ['traumatic brain injury']
