Disposition after acute stroke: who is not sent home from hospital?

Neuroepidemiology
S M LaiE Sobel

Abstract

Known demographic and clinical characteristics of stroke survivors that affect selection of the facility to which they are discharged after hospitalization for an acute stroke are, for the most part, not population based and therefore may be unrepresentative. We present an analysis of such characteristics using the Lehigh Valley stroke cohort which is population based. We enrolled patients within 1 month of onset of their initial acute stroke who were hospitalized between 1987 and 1989 at one of the eight hospitals in the Lehigh Valley, and 662 patients were discharged alive. The facility to which they were discharged was known for 660. Data on age, sex, presence of five selected comorbidities (hypertension, myocardial infarction, cardiac arrhythmia, diabetes mellitus and transient ischemic attacks), length of hospitalization and neurologic deficits from the stroke were systematically collected on standardized forms. Polytomous logistic regression was used to determine the factors associated with not being discharged home. Relative risk (RR) associated with discharge to a nursing or rehabilitation facility for each independent predictor was calculated using as the referent, those who went home. Older age was a statistically sig...Continue Reading

Citations

Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Margaret Kelly-HayesPhilip A Wolf
Apr 9, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Isabelle Bourdel-MarchassonSandrine Richard-Harston
Mar 29, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Rebecca Trantowski FarrellJames Sinacore
Feb 24, 2006·Cerebrovascular Diseases·Jacqueline Müller-NordhornStefan N Willich
Feb 2, 2013·Healthcare Policy = Politiques De Santé·Deborah WillemsNorine Foley
Nov 8, 2005·The Tohoku Journal of Experimental Medicine·Kazuhiro OhwakiEiji Yano
Mar 24, 1999·American Journal of Physical Medicine & Rehabilitation·R M RuffJ M Marinos
Apr 22, 2006·American Journal of Physical Medicine & Rehabilitation·Maureen L CarneyPeter Esselman
Sep 25, 2014·Disability and Rehabilitation·Kelly Van der CruyssenRoy Remmen
Jul 10, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Keith A SandersLisa H Johnston
Feb 26, 2008·Archives of Physical Medicine and Rehabilitation·Iuly TregerUNKNOWN National Acute Stroke Israeli Survey Group
Dec 3, 2011·Archives of Physical Medicine and Rehabilitation·Sharon J HakkennesKeith D Hill
Aug 4, 2006·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·R M San SegundoT Usabiaga
Sep 17, 1999·Archives of Physical Medicine and Rehabilitation·R A HanksS A Deshpande
Apr 8, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hung-Pin TsengUNKNOWN Taiwan Stroke Registry Investigators
Dec 22, 2004·Clinical Rehabilitation·Lesley LeedsPeter Hobson
Mar 6, 2003·Clinical Rehabilitation·B S AdityaM Vassallo
Apr 1, 2004·Clinical Rehabilitation·T M McMillan, M Laurie
May 16, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Ebere Onukwugha, C Daniel Mullins
May 7, 1999·Stroke; a Journal of Cerebral Circulation·R D BrownC L Leibson
Jul 12, 2003·Stroke; a Journal of Cerebral Circulation·Eva-Lotta GladerUNKNOWN Riks-Stroke Collaboration
Jan 21, 2006·Stroke; a Journal of Cerebral Circulation·Henraya F McGruderZhi-Jie Zheng
May 26, 2012·Stroke; a Journal of Cerebral Circulation·Yannick BéjotMaurice Giroud
Feb 12, 2019·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Amalie SaabGordon Bryan Young
Oct 11, 2017·Journal of the American Geriatrics Society·Jennifer K BurtonTerry J Quinn
Oct 4, 2002·American Journal of Physical Medicine & Rehabilitation·Richard W BohannonRose Maljanian
Feb 6, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Takeshi ImuraOsamu Araki

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