Poststroke discharge destination: functional independence and sociodemographic factors in urban Japan

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
T KoyamaK Domen

Abstract

To assess how functional independence and sociodemographic factors influence discharge destination of patients recovering from stroke in urban Japan. Patients recovering from first-ever stroke (supratentorial lesions) discharged from a long-term rehabilitation hospital. Scores for individual patients were collected at both admission and discharge for the motor components of the Functional Independence Measure (FIM-m), and FIM-m increase was ascertained; patients were also surveyed to gather data for explanatory variables: age, sex, type of stroke, length of hospital stay, number of people in the household, co-residence with a spouse, and number of sons/daughters. Outcomes were defined as dichotomous categories, discharge to home versus to a nursing home. Logistic analyses were performed on these data. Of the 163 patients enrolled in the study, 123 were discharged to home and 40 were discharged to a nursing home. Analyses showed that older age and lower FIM-m scores at both admission and discharge were associated with greater probability of discharge to a nursing home. The number of children, including sons/daughters living in separate households, had no statistically significant relationship to discharge destination. Patients w...Continue Reading

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Citations

Apr 18, 2013·Current Atherosclerosis Reports·Bruce H Dobkin, Andrew Dorsch
Jan 24, 2016·Clinical Neurology and Neurosurgery·Margot MeesPatrick Cras
Sep 25, 2014·Disability and Rehabilitation·Kelly Van der CruyssenRoy Remmen
Apr 12, 2015·Archives of Physical Medicine and Rehabilitation·Peii ChenA M Barrett
Oct 23, 2015·Rehabilitation Research and Practice·Akiyoshi MatsugiKiyoshi Nagano
Apr 1, 2015·Archives of Physical Medicine and Rehabilitation·Vu Q C NguyenCharles F Rhoads
Nov 9, 2016·Journal of Physical Therapy Science·Akiyoshi MatsugiKiyoshi Nagano
Aug 27, 2017·Stroke; a Journal of Cerebral Circulation·Takahiro ItayaMasakazu Nishigaki
Sep 27, 2019·European Journal of Physical and Rehabilitation Medicine·Arturo ZancanPaola Borrelli
Mar 4, 2020·Disability and Rehabilitation·Kate GledhillNatasha A Lannin
Mar 5, 2020·Annals of Rehabilitation Medicine·Yoshiteru AkezakiShinsuke Sugihara
Oct 11, 2017·Journal of the American Geriatrics Society·Jennifer K BurtonTerry J Quinn
Dec 6, 2020·Archives of Physical Medicine and Rehabilitation·Pamela RobertsRichard Riggs
Oct 21, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Dat T TranJeff Round

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