Investigation of factors influencing home discharge of stroke patients in Kaifukuki rehabilitation Multivariate analysis of 1,505 stroke patients by pathology

• Published in: Juntendo Medical Journal Vol. 57; no. 3; pp. 257 - 262
• Main Authors: INOUE, TOMOTAKA, YAMAJI, YOSHIO, ISHIKAWA, MAKOTO, MARUI, EIJI
• Format: Journal Article
• Language: Japanese; English
• Published: The Juntendo Medical Society 30.06.2011
• Subjects: FIM (Functional Independence Measure); home discharge; Kaifukuki rehabilitation; multivariate analysis; type of stroke
• ISSN: 0022-6769; 2188-2134
• DOI: 10.14789/pjmj.57.257

In this study, 1505 stroke patients in kaifukuki rehabilitation at our hospital were divided into patients who were discharged home and those discharged elsewhere. Logistic regression analysis was performed using discharge home or elsewhere as the result variable, while patient age, gender, duration of hospitalization, length of the transition period from onset of pathology to the start of kaifukuki rehabilitation, and the functional independence measure (FIM) at both hospitalization and discharge as target variables. Next, analysis was performed again using the same result and target variables for specific types of stroke pathology : cerebral infarction, cerebral hemorrhage, and subarachnoid hemorrhage. Length of transition period, FIM at discharge, and patient age were identified as factors that influence home discharge among all patients. There were no differences in the home discharge rate was observed by stroke pathology. For cerebral infarction, gender (male), FIM at discharge, and length of the transition period were identified;for cerebral hemorrhage, length of the transition period and FIM at discharge were identified;and for subarachnoid hemorrhage, FIM at discharge was identified. For all pathologies, the younger the patient, the higher the FIM at discharge;and the shorter the transition period, the greater the rate of home discharge. For cerebral infarction and cerebral hemorrhage, the shorter the transition period and the higher the FIM value at discharge, the greater the rate of home discharge. Gender (male) was identified only for cerebral infarction.