Factors Influencing Post Rehabilitation Outcomes of Cerebrovascular Accident Patients with Lower than 90 Points on the FIM in a Convalescence Rehabilitation Ward

Imura, Shigeyuki; Usuda, Shigeru; Sugaya, Kumiko; Kani, Yuko

doi:10.1589/rika.23.545

Cited by 8 publications

(16 citation statements)

References 13 publications

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“…Denti et al 2) reported that the ADL level at admission was the most powerful predictor of the functional outcome of elderly stroke patients. Many studies 3,4) have addressed prediction of the outcome of patients discharged to convalescence at a rehabilitation unit. However, outcome studies of acute-phase rehabilitation have mainly been conducted of patients with cerebrovascular disease 5,6) , and there have been few studies investing other diseases such as pneumonia 7) or critically ill patients admitted to an intensive care unit (ICU) 8,9) .…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Outcome of Acute Rehabilitation: Functional Independence Measure Assessment at Discharge

2012

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Abstract.[Purpose] The purpose of this study was to identify factors related to the discharge destination of 126 patients who underwent acute rehabilitation. [Subjects and Methods] We assessed Activities of Daily Living (ADL) of 126 patients, based on the Functional Independence Measure (FIM) score at discharge and analyzed whether the FIM score was useful for predicting the outcome by discriminant analysis.[Results] The correct classification rate of our model was 93.7%. Control of excretion, self care, and transfer were the factors with the greatest influence on the outcome. When our model was tested with 40 patients for validation, the correct classification rate was 77.5%.[Conclusion] ADL is a useful indicator of the discharge destination of patients undergoing acute rehabilitation. Further research is needed to improve our model, so that it includes disease characteristics and social factors.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing the Outcome of Acute Rehabilitation: Functional Independence Measure Assessment at Discharge

2012

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“…There have been many studies in which the FIM was used to examine the determinants of discharge to home [3][4][5][6][12][13][14][15] . Yoshida et al reported that independence in toileting largely contributed to a 79% rate of returning home 9) .…”

Section: Discussionmentioning

confidence: 99%

“…Preceding studies on factors influencing discharge to home have reported that independence in transferring, toileting, and getting on/off the toilet are predictive ADLrelated factors for patients returning home 2) . Further, the presence of daytime and nighttime caregivers, a large number of family members, and the feasibility of temporary home-stay during hospitalization have also been demonstrated to be important contributing factors [3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Return to Home After Stroke: An Analysis Based on Familys' Views

Sakurai

Sugiura²,

Sigiura

et al. 2011

J Phys Ther Sci

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Abstract. [Purpose] To examine how the following factors would influence discharge to home: the family's view about the discharge destination at the time of the stroke patient's admission, the social background including the presence and sex of spouse and the number of family members, and the age of the patient.[Subjects] A total of 189 subjects with first time stroke were divided into 3 groups according to their families' views about discharge destination as follows: discharge to home group (96 subjects), discharge to facilities group (52 subjects), and undecided group (41 subjects). Each group was further divided into 2 sub-groups: discharge to home and discharge to facilities. [Methods] A multivariate logistic regression analysis was performed, considering the discharge destination as the response variables, and admission and discharge FIM scores of 18 items as explanatory variable. Also, in order to observe the influence of social background, comparisons by the presence and sex of spouse, by the number of family members, and by age were conducted.[Results] In a multivariate logistic regression analysis for all subjects at discharge, "eating" and "problem solving" were selected. In a comparison by age, a significant difference was recognized between those aged up to 79 years and those aged 80 years and older on the probability of discharge home.[Conclusion] The result suggests that eating and cognitive function play important roles in determining the discharge destination of stroke patients.

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“…Preceding studies of factors influencing return to home have reported that independence in transfer, toileting, and getting on/off the toilet were predictive ADL-related factors for return to home 3) . Further, the presence of daytime and nighttime caregivers, a large number of family members, and the feasibility of temporarily staying at home during hospitalization have also been demonstrated to be important contributing factors [4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Determinants of Return to Home After Stroke: An Analysis Based on FIM Scores

Sakurai

Tsujimura²,

Sugiura³

et al. 2011

J Phys Ther Sci

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Abstract. [Purpose] In order to promote the return to home of stroke patients, a study based on admission and discharge FIM scores was conducted to identify the ADL-related factors influencing the discharge destination.[Subjects] A total of 256 stroke patients (141 males and 115 females) who stayed in hospital for more than a month were considered. Cases of recurrence or complications were excluded.[Methods] The patients' functional status was evaluated on admission and every month until discharge using the FIM scale. Patients discharged to home or care facilities were divided into three groups according to their total motor-FIM scores: good recovery, moderate recovery, or poor recovery. By comparison of admission and discharge FIM scores, the determinants of discharge to home were examined.[Results] In a multivariate logistic regression analysis considering the discharge destination of patients in the poor-recovery group as the response variable, three factors were identified as the determinants: toileting, length of stay, and age.[Conclusion] The results show improvement of toileting, length of stay, and age are the determinants of return to home after stroke. Further studies will be performed from diverse viewpoints such as the background of discharge to home.

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Factors Influencing Post Rehabilitation Outcomes of Cerebrovascular Accident Patients with Lower than 90 Points on the FIM in a Convalescence Rehabilitation Ward

Cited by 8 publications

References 13 publications

Factors Influencing the Outcome of Acute Rehabilitation: Functional Independence Measure Assessment at Discharge

Factors Influencing the Outcome of Acute Rehabilitation: Functional Independence Measure Assessment at Discharge

Determinants of Return to Home After Stroke: An Analysis Based on Familys' Views

Determinants of Return to Home After Stroke: An Analysis Based on FIM Scores

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