An investigation into the use of the Addenbrooke's Cognitive Examination -Revised (ACE-R) as a means of predicting rehabilitation outcomes in adults aged 16 or over

Objectives: To investigate (1) the use of the ACE-R in predicting functional gain during inpatient rehabilitation, and (2) whether ACE-R scores identify patients who will require additional therapy support during their rehabilitation. Design: Prospective cohort study. Setting: UK inpatient physically disabled rehabilitation unit. Participants: Of the 100 adult participants approached, 65 had baseline assessments. Complete data sets were available for 60 (92.3%) participants and included for analysis. Mean age was 49.847 yrs (SD=12.01. Main Outcome measures: Functional gain during rehabilitation was measured using the Functional Independence Measure (FIM). To control for baseline ability, the FIM change (FIM Discharge – FIM admission) was used as the main outcome measure. Results: There were no significant correlations between ACE-R total (rho=.104, P=0.43), Memory (rho=.02, p=0.89) or Fluency (rho=.15, p=0.25) scores and FIM change. There were no significant correlations between FIM change and MMSE, mood, age, medical co-morbidities, number of medications, medication type, gender, continence and catheterisation, or social deprivation. There was a significant difference in the ACE-R Total (p