BACKGROUND: Functional impairments from central nervous system (CNS) @entity409 experienced by pediatric @entity1 with @entity5 diagnoses are well documented. However, little is known of these @entity1 ' functional outcomes and potential complications while receiving inpatient rehabilitation services. OBJECTIVE: To compare functional outcomes and unplanned transfer rates of pediatric @entity1 with impairments associated with CNS @entity409 between those with primary @entity5 diagnoses and noncancer diagnoses while receiving inpatient rehabilitation care. DESIGN: Retrospective comparison cohort study. SETTING: Inpatient rehabilitation unit within a regional tertiary care pediatric hospital. @entity1 : @entity1 with CNS-based functional impairments with primary @entity5 diagnoses (n = 107) and noncancer diagnoses (n = 480), admitted to the inpatient rehabilitation unit between January 1, 2005 and April 1, 2012, who were aged 1 to 20 years at time of admission. INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Pediatric Functional Independence Measure (WeeFIM) reflecting functional status was collected at admission and discharge with change score and WeeFIM efficiency calculated. Length of stay on the rehabilitation unit and unplanned transfer rates were also collected. RESULTS: No significant difference in total WeeFIM scores at admission was found between @entity5 and noncancer groups. Both groups had significant increases in WeeFIM scores at discharge (P < .001). The noncancer group had significantly higher WeeFIM change in self-care (P = .001), mobility (P = .009), and total score (P = .004) and had a greater length of stay (P < .001). A  comparison of WeeFIM efficiency in all domains revealed no significant difference between @entity5 and noncancer groups. There was also no significant between-group difference in unplanned transfer rates. CONCLUSIONS: @entity1 with CNS-based functional impairments with @entity5 and noncancer diagnoses made functional gains with similar WeeFIM efficiencies after undergoing inpatient rehabilitation. However, @entity1 with noncancer diagnoses made greater gains in self care, mobility, and total scores with longer stays on the rehabilitation service. No significant difference was found in unplanned transfer rates between @entity5 and noncancer groups for acute medical care.

Functional Outcomes and Unplanned Transfers of Pediatric XXXX With Central Neurological Impairments Receiving  Inpatient Rehabilitation Care With Cancer and  Noncancer Diagnoses.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Children', 'PARTICIPANTS'] @entity409 :: ('MESH:D008107', 'Disease') :: ['dysfunction'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer']
@entity1 :: (9606,Species) :: ['Patients']
