Factors associated with functional recovery and home discharge in stroke patients admitted to a convalescent rehabilitation ward

Abstract

Aims: This study aimed to determine the predictive factors for functional recovery and home discharge in stroke patients receiving in-hospital rehabilitation.Methods: This study included a consecutive series of 174 stroke patients (average age 73.0 ± 10.8) admitted to the convalescent rehabilitation ward at Azumino Red Cross Hospital in Japan after acute rehabilitation. The main outcome measures were functional recovery (functional independence measure [FIM] at discharge and Montebello rehabilitation factor score [MRFS]) and home discharge.Results: Total FIM improved from 72.6 ± 27.6 to 87.7 ± 29.9 during the hospital stay (P < 0.001). The average MRFS was 0.34 ± 0.31. Of the 174 patients, 151 were discharged home (87%). Age, stroke type, premorbid independence, motor FIM, and cognitive FIM at admission showed a significant association with FIM at discharge, while age, premorbid independence, motor FIM at admission, and cognitive FIM at admission were statistically significant predictors of MRFS. Female sex, not living with family, premorbid independence, and neglect were negatively associated with home discharge.Conclusions: Premorbid disability and cognitive dysfunction at admission were both negatively associated with functional recovery and home discharge in patients undergoing inpatient stroke rehabilitation. Geriatr Gerontol Int 2012; 12: 215-222.

Methods for Improving the Predictive Accuracy Using Multiple Linear Regression Analysis to Predict the Improvement Degree of Functional Independence Measure for Stroke Patients

“…However, there have been few reports on multiple regression analysis that used FIM effectiveness as the objective variable [21][22][23]. But we obtained the following results recently.…”

Prognosis and Recovery of Motor Function with Lesion–Symptom Mapping in Patients with Stroke

“…For this reason, the analysis of recovery profiles is important because this information can help to provide more specific plans for stroke rehabilitation [11]. Several investigators have studied clinical post-stroke recovery, mostly in terms of upper and lower motor function, gait, balance, cognition, trunk control, and activities of daily living (ADL) [6,7,9,[12][13][14][15][16][17][18][19][20][21]. Our knowledge of the details of stroke recovery remains limited, and there are few validated predictors of clinical recovery and generally insufficient data on the degree of recovery that can be achieved.…”

Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study

“…In the LTCI system, patients recovering from stroke are classified into one of the seven care levels -ranging from slight impairment to bedridden -based on their care requirements at discharge (Table 1). Disabled patients can receive care services based on their certified LTCI care levels after discharge (Figure 1) [5][6][7][8][9].…”