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. 1991 May;154(5):587–590.

Stroke rehabilitation: a model predicting return home.

D B Wilson 1, D M Houle 1, R A Keith 1
PMCID: PMC1002838  PMID: 1866956

Abstract

We undertook this study to describe the changes in functional status for patients in a rehabilitation program for acute stroke and to identify the variables that best predict discharge home. Of 282 patients, 75% were discharged home. Increases in functional status were found for all 18 activities of the Functional Independence Measure from admission to discharge. Significant predictors of discharge disposition in a logistic regression model were the admission and discharge functional status scores, length of stay, and living arrangement before the stroke. The functional status at discharge was the most important predictor. Knowledge of these predictors can contribute to more appropriate treatment and discharge planning.

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Selected References

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  1. DeJong G., Branch L. G. Predicting the stroke patient's ability to live independently. Stroke. 1982 Sep-Oct;13(5):648–655. doi: 10.1161/01.str.13.5.648. [DOI] [PubMed] [Google Scholar]
  2. Dombovy M. L., Sandok B. A., Basford J. R. Rehabilitation for stroke: a review. Stroke. 1986 May-Jun;17(3):363–369. doi: 10.1161/01.str.17.3.363. [DOI] [PubMed] [Google Scholar]
  3. Feigenson J. S. Stroke rehabilitation: effectiveness, benefits, and cost. Some practical considerations. Stroke. 1979 Jan-Feb;10(1):1–4. doi: 10.1161/01.str.10.1.1. [DOI] [PubMed] [Google Scholar]
  4. Garraway W. M., Akhtar A. J., Prescott R. J., Hockey L. Management of acute stroke in the elderly: preliminary results of a controlled trial. Br Med J. 1980 Apr 12;280(6220):1040–1043. doi: 10.1136/bmj.280.6220.1040. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Granger C. V., Hamilton B. B., Gresham G. E., Kramer A. A. The stroke rehabilitation outcome study: Part II. Relative merits of the total Barthel index score and a four-item subscore in predicting patient outcomes. Arch Phys Med Rehabil. 1989 Feb;70(2):100–103. [PubMed] [Google Scholar]
  6. Gresham G. E., Phillips T. F., Wolf P. A., McNamara P. M., Kannel W. B., Dawber T. R. Epidemiologic profile of long-term stroke disability: the Framingham study. Arch Phys Med Rehabil. 1979 Nov;60(11):487–491. [PubMed] [Google Scholar]
  7. Heinemann A. W., Roth E. J., Cichowski K., Betts H. B. Multivariate analysis of improvement and outcome following stroke rehabilitation. Arch Neurol. 1987 Nov;44(11):1167–1172. doi: 10.1001/archneur.1987.00520230051013. [DOI] [PubMed] [Google Scholar]
  8. Jongbloed L. Prediction of function after stroke: a critical review. Stroke. 1986 Jul-Aug;17(4):765–776. doi: 10.1161/01.str.17.4.765. [DOI] [PubMed] [Google Scholar]
  9. Keith R. A., Granger C. V., Hamilton B. B., Sherwin F. S. The functional independence measure: a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6–18. [PubMed] [Google Scholar]
  10. Kelly-Hayes M., Wolf P. A., Kannel W. B., Sytkowski P., D'Agostino R. B., Gresham G. E. Factors influencing survival and need for institutionalization following stroke: the Framingham Study. Arch Phys Med Rehabil. 1988 Jun;69(6):415–418. [PubMed] [Google Scholar]
  11. Lehmann J. F., DeLateur B. J., Fowler R. S., Jr, Warren C. G., Arnhold R., Schertzer G., Hurka R., Whitmore J. J., Masock A. J., Chambers K. H. Stroke rehabilitation: Outcome and prediction. Arch Phys Med Rehabil. 1975 Sep;56(9):383–389. [PubMed] [Google Scholar]
  12. Lehmann J. F., DeLateur B. J., Fowler R. S., Jr, Warren C. G., Arnhold R., Schertzer G., Hurka R., Whitmore J. J., Masock A. J., Chambers K. H. Stroke: Does rehabilitation affect outcome? Arch Phys Med Rehabil. 1975 Sep;56(9):375–382. [PubMed] [Google Scholar]
  13. Lind K. A synthesis of studies on stroke rehabilitation. J Chronic Dis. 1982 Feb;35(2):133–149. doi: 10.1016/0021-9681(82)90114-x. [DOI] [PubMed] [Google Scholar]
  14. Seale C., Davies P. Outcome measurement in stroke rehabilitation research. Int Disabil Stud. 1987;9(4):155–160. doi: 10.3109/03790798709166353. [DOI] [PubMed] [Google Scholar]
  15. Smith M. E., Garraway W. M., Smith D. L., Akhtar A. J. Therapy impact on functional outcome in a controlled trial of stroke rehabilitation. Arch Phys Med Rehabil. 1982 Jan;63(1):21–24. [PubMed] [Google Scholar]
  16. Stevens R. S., Ambler N. R., Warren M. D. A randomized controlled trial of a stroke rehabilitation ward. Age Ageing. 1984 Mar;13(2):65–75. doi: 10.1093/ageing/13.2.65. [DOI] [PubMed] [Google Scholar]
  17. Strand T., Asplund K., Eriksson S., Hägg E., Lithner F., Wester P. O. A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization. Stroke. 1985 Jan-Feb;16(1):29–34. doi: 10.1161/01.str.16.1.29. [DOI] [PubMed] [Google Scholar]

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