A six-year audit in a rehabilitation centre with mod barthel index and FIM as outcome measures

A rehabilitation audit was performed comparing admission and discharge values of FIM and Barthel Index (self report) of the last 6 years. The results indicate substantial changes in FIM and BI thus justifying the rehabilitation process. Performing an audit of the used instruments we found a small group of patients (between 6% (post surgery patients) and 26.4% (rheumatological patients)) for whom no overall improvement could be indicated. These patients differ significantly from the other patients in reaching higher values on admission thus indicating a possible ceiling effect in FIM and in BI.