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P228 Background: The clinical impression of the  Physical Therapist is requested in the determination of patient  placement after an acute stroke. There is little evidence to determine  if physical therapists are accurately making these recommendations.  Also, there is little consensus regarding factors physical therapists  consider when making these decisions. It is unknown if years of  clinical experience affects placement judgment. The purpose of this  retrospective chart review was to address the following questions: How  accurate were the physical therapists in predicting placement and did  experience affect the accuracy of the prediction?Methods: A  retrospective chart review of 64 medical records of persons admitted to  The University of Pittsburgh Medical Center Stroke Institute during  1999 was conducted. Data collected included client demographics,  elements of the medical and social history, and measures obtained from  the initial evaluation and the therapist s recommendation for discharge  placement.Results: Spearman rank correlation coefficients  were calculated between the predicted and actual discharge location,  and to determine the association of the accuracy of prediction and  other factors from the client s history or evaluation.An accurate  prediction was made 73 % of the time. A moderate correlation was found  between the predicted and actual discharge location. (r =.655). Fair  but significant correlations were found between the accuracy of  prediction and the following factors: the extent of brain damage  (r=-.423), bowel and bladder function (r= .357), National Institutes of  Health Stroke Scale score (r=.391), and the client s abilities to  perform balance (r=.399), sit to stand (r=.483), and locomotion  (r=.411). No significance was found between the therapist s years of  experience and correct placement decisions. Physical therapists with a  minimum of 3 years of experience evaluated 77% of the patients..Conclusions: In this retrospective chart review, physical  therapists were accurate in their predictions of placement location for  persons with an acute stroke. The physical therapists years of  experience did not appear to significantly affect accuracy

Physical Therapist Prediction Accuracy of Discharge Placement from Acute Care.