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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