Het gebruik van kinesitherapie en van fysische geneeskunde ... - KCE

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84 Physiotherapy & Physical and Rehabilitation Medicine KCE Reports 87 Table 37 : Model building of the probability of beginning rehabilitation with PRM versus PT based on patient socio-health characteristics characteristics and identification of hospital: Classification table Prob Correct Incorrect Percentages Level Non- Non- Correc Sensi- Speci- False False Event Event Event Event t tivity ficity POS NEG 0.500 22883 23902 3036 2675 89.1 89.5 88.7 11.7 10.1 Even in the absence of data on the functional status of the patient, this model provides an almost exact prediction of the type of rehabilitation (PRM versus PT). The hospital identity (i.e. the hospital’s registration number as defined by the Ministry of Public Health) where the rehabilitation begins, is of first importance. Additional information include the type of surgery, the patient’s coverage for “minor risks”, the presence and nature of rehabilitation before the operation and, to a lesser extent, the age and unemployment rate of the statistical quarter of residence. 4.5.2.3 Probability of beginning rehabilitation with multi-disciplinary PRM during hospitalisation Model building based on patient characteristics The rate of concordance (nearly 79%) is clearly better than that obtained for the model building of the probability of prescribing PRM in first intention, regardless of the type of PRM. The specificity of this model is very good, but sensitivity is poor. The most important parameters are: • Lack of coverage for "minor risks" makes these patients 42 times more likely to receive multi-disciplinary PRM; • Having received PRM during the 30-day period before the intervention of PRM makes these patients 4 times more likely to receive multi-disciplinary PRM versus patients receiving PT during the 30-day period before the operation; • Surviving for one year following surgery makes patients 1.6 times more likely to receive multi-disciplinary PRM than patient with poorer diagnoses; • Being under the age of 30 reduces the likelihood of receiving multidisciplinary PRM by one third compared to patient between 30 and 59. Being older slightly increases these chances. The other statistically significant parameters have an odds ratio close to 1.
KCE Reports 87 Physiotherapy & Physical and Rehabilitation Medicine 85 Table 38 : Model building of the probability of beginning rehabilitation with multi-disciplinary PRM versus mono-disciplinary rehabilitation (PRM or PT) based on patient socio-economic characteristics: statistically significant variables Type III Analysis of Effects Effect DF Wald Chi-Square Pr > ChiSq Minor risk entitlements 1 1129.5758
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Het gebruik van kinesitherapie en van fysische geneeskunde ... - KCE

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