{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:37:08Z","timestamp":1783406228333,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>First, we describe the characteristics and functional outcomes of obese and bariatric patients in an inpatient rehabilitation facility (IRF). Second, we assessed differences in functional outcomes for bariatric, obese, and standard weight body mass index (BMI) groups. Third, we explored whether these characteristics differ between time periods and diagnostic groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective study comparing electronic medical record data collected in 2016 and 2018, using a repeated cross\u2010sectional cohort design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>IRF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Individuals \u226518\u2009years of age diagnosed with brain injury, medical complexity, general neurology, orthopedic, spinal cord injury (SCI), and stroke. Participants grouped as standard (BMI\u2009&lt;30\u2009kg\/m<jats:sup>2<\/jats:sup>), obese (BMI 30\u201339\u2009kg\/m<jats:sup>2<\/jats:sup>), and bariatric (BMI\u2009\u226540\u2009kg\/m<jats:sup>2<\/jats:sup>) weights. (<jats:italic>N<\/jats:italic>\u2009=\u20092015 in 2016, <jats:italic>N<\/jats:italic>\u2009=\u20092768 in 2018.)<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Patients received standard inpatient rehabilitation. In 2018, clinicians had access to new weight\u2010appropriate equipment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Discharge destination; length of stay (LOS) by BMI group and medical diagnoses; item\u2010specific functional independence measure (FIM) change scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010four percent to 67% of all BMI groups achieved a home discharge. The bariatric BMI group had a longer LOS (21\u2009days) than the standard or obese groups. There was a significant interaction in a linear regression analysis between diagnosis and LOS, where LOS was longer in medically complex patients with bariatric BMI (19.3\u2009days compared to 16.1\u2009days) but shorter in bariatric patients with SCI (20.6\u2009days) compared to standard weight patients (26.2\u2009days). In 2018, the bariatric BMI group had greater average FIM change scores for bathing, lower body dressing, toilet transfers, and bed transfers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patient BMI is associated with LOS in the IRF, although affected by diagnosis. Patients with higher BMIs can make changes in specific individual motor FIM items. For patients with bariatric BMIs, FIM change scores were higher in 2018, possibly due to the use of equipment and facilities designed for higher weight capacities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13079","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T03:07:41Z","timestamp":1696993661000},"page":"426-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mobility and self\u2010care outcomes in patients with a bariatric comorbidity during inpatient rehabilitation"],"prefix":"10.1002","volume":"16","author":[{"given":"Kelcey","family":"Bines","sequence":"first","affiliation":[{"name":"Shirley Ryan Ability Lab  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8627-4496","authenticated-orcid":false,"given":"Elizabeth","family":"Strehlow","sequence":"additional","affiliation":[{"name":"Shirley Ryan Ability Lab  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Northwestern University Feinberg School of Medicine  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella","family":"Nettnin","sequence":"additional","affiliation":[{"name":"Shirley Ryan Ability Lab  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Stoff","sequence":"additional","affiliation":[{"name":"Shirley Ryan Ability Lab  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam R.","family":"Rafferty","sequence":"additional","affiliation":[{"name":"Shirley Ryan Ability Lab  Chicago United States"},{"name":"Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine Northwestern University  Chicago United States"},{"name":"Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine Northwestern University  Chicago United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000497461"},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"Prevalence of Obesity and Severe Obesity Among Adults: United States 2017\u20132018 (CDC)","volume":"2","author":"Hales CM","year":"2020","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.148"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2013.01.003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001346"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.6.1989"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000217216.84983.0A"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945916683682"},{"issue":"6","key":"e_1_2_8_10_1","first-page":"e234","article-title":"Barriers to transition of obese patients from hospital to community","volume":"18","author":"Miles J","year":"2012","journal-title":"Am J Manag Care"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1243161"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph120606084"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/rnj.165"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1891\/1521\u20100987.16.1.14"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048\u20107940.2010.tb00054.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.915586"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JAC.0000264603.57747.45"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.01.019"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.08.029"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.4.1202"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048\u20107940.2011.tb00075.x"},{"issue":"147","key":"e_1_2_8_22_1","first-page":"50956","article-title":"Medicare program; 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