Article

PURPOSE: To determine whether functional ability at admission and demographics
predict discharge placement after inpatient rehabilitation for older adults
recovering from stroke. In this retrospective study, we examined records
of 31,910 adults 65 years of age and older who were admitted for inpatient
rehabilitation post-stroke. Binary logistic regression was used with the outcome
of placement and potential predictors of the admission Functional Independence
Measure (FIM) score, age, sex and marital status. RESULTS: The average admission
FIM was 60.0 out of 126; the average FIM at discharge was 84.8. The mean age was
77.7 +/- 7.3 years, 57% were female and 52.5% were not married. More than three
quarters of the patients were discharged to home.
Odds ratios (ORs) with 95%
confidence intervals (CIs) showed that patients with a FIM score below the mean
of our sample (OR = 5.8, CI = 5.5-6.2), older than the mean age of our sample (OR
= 1.6, CI = 1.5-1.7), and who were not married (OR = 1.9, CI = 1.8-2.0) (p-values
<0.001) were more likely to be discharged to residential care. Sex was not
predictive of placement. CONCLUSION: The admission FIM was an important predictor
of discharge placement after rehabilitation in older adults. Age and marital
status were also significant predictors of discharge placement. Sex was not a
significant predictor.

Langue : ANGLAIS