Discharge Destination of Individuals with Severe Stroke Undergoing Rehabilitation: A Predictive Model
Date of Award
Master of Science
Health and Rehabilitation Sciences
Dr. Robert Teasell
Introduction. Individuals with severe stroke are perceived to make limited functional gains in rehabilitation, but they benefit in terms of other outcomes, especially, discharge destination (DD). Early identification of patients likely to be discharged home would ensure that those most likely to benefit, receive rehabilitation.
Objective. The objective of this study was to determine the predictive value of age, stroke severity and caregiver availability for DD of severe stroke patients undergoing rehabilitation.
Methods. Telephone interviews of severe stroke patients discharged from Parkwood Hospital were conducted to determine caregiver availability and current living status. Age, Functional Independence Measure (FIMTM) scores and caregiver availability were abstracted in a chart review, followed by analysis using logistic regression.
Results. All three factors were found to be predictive of DD. The inclusion of caregiver availability in a predictive model including age and admission FIMTM, improved the predictive accuracy o f the model.
Conclusion. Age, admission FIMTM and caregiver availability were significant predictors of post rehabilitation DD of individuals with severe stroke. These individuals were rarely discharged home in the absence of an available caregiver.
Pereira, Shelialah, "Discharge Destination of Individuals with Severe Stroke Undergoing Rehabilitation: A Predictive Model" (2010). Digitized Theses. 3739.