Long‐term outcome in stroke survivors after discharge from a convalescent rehabilitation ward

Abstract

Aim:The aim of this study was to investigate the long-term mortality, daily living activities, social activity, and symptoms of depression, in post-stroke patients discharged to their homes from a convalescent rehabilitation ward, and to determine the relationship between demographic variables and long-term outcome.Methods: This study included 252 consecutive stroke patients (140 men; mean age, 72.4 ± 10.8 years) who had been admitted to a convalescent rehabilitation ward for inpatient rehabilitation. Follow-up assessment was made by postal questionnaire for up to >1 year after discharge, and included the modified Rankin scale, Frenchay activities index (FAI), and Geriatric Depression Scale.Results: Of the 192 respondents (76.2%), 160 (83.3%) were living at home. Eighty-three (51.8%) were independent. Cumulative post-stroke mortality at 1 and 3 years was 3.7% and 19.4%, respectively.Mean total FAI score was 26.5 ± 10.9, suggesting that social inactivity was common. The estimated prevalence of depression was 21.6%. Coronary artery disease and motor functional independence measures were significantly associated with mortality, whereas age, recurrent stroke, severity of paralysis, and motor functional independence measures were significant predictors of independence. In the crosssectional logistic model, depression symptoms were inversely associated with FAI score. Conclusions:The mortality rate of patients discharged to their home following inpatient rehabilitation is relatively low. Social inactivity and depression symptoms, however, remain common during the chronic phase, and the severity of depression and restriction of participation were interrelated.

Longitudinal functional changes, depression, and health‐related quality of life among stroke survivors living at home after inpatient rehabilitation

“…In our previous cross‐sectional studies, we have shown that social inactivity and depression symptoms remain highly prevalent in home‐dwelling stroke survivors after discharge from a convalescent rehabilitation ward . Maintaining and improving ADL acquired through inpatient rehabilitation is important for stroke survivors to be able to continue living at home.…”

The Association between Post-Stroke Depression and the Activities of Daily Living/Gait Balance in Patients with First-Onset Stroke Patients

“…Post-stroke depression (PSD) is one of the most common mental complications suffered by stroke patients leading to an impaired quality of life (QoL), altered rehabilitation outcomes, and an increased mortality rate 12345. At 3 months after a stroke, the independent predictors for PSD include a low level of education, low income, a greater severity of stroke, being younger than 68 years of age, the presence of a severe functional disability, crying behaviors, self-reported problems with activities of daily living (ADL), and the need for help during ADL 67…”

Development of a Computerized Assessment Tool for Hand-arm Function After Stroke: Test-retest Reliability and Convergent Validity

“…More than 50% of stroke survivors report persistent hemiparesis resulting in impaired fine and gross motor skills of the upper extremity (5), (6). Various studies have shown that early care, high intensity and functional involvement of the movements practiced is directly proportional to a better recovery (7), (8).…”

“…Studies have shown that more than 60% of stroke survivors report persistent hemiparesis resulting in impaired fine and gross motor skills of the upper extremity (40), (5), (6). Manual dexterity involving handling and manipulating objects with the fingers and hand is important for nearly all daily life activities such as dressing, grooming, eating, etc.…”