Scholarlink

Background <p>After finishing a stroke rehabilitation program, patients’ discharge destinations as well as the incidence of delayed discharge can substantially influence both patient care and the efficiency of the healthcare system. Identifying early predictors of these outcomes may improve discharge planning and better utilization of rehabilitation resources.</p> Methods <p>The study included 226 stroke patients who received an inpatient rehabilitation program. Data were collected retrospectively from patients’ records, including stroke severity, which was measured by national institute of health stroke scale (NIHSS); functional status using functional independence measure (FIM); and cognitive function, using the Montreal cognitive assessment (MoCA).</p> Results <p>Most patients were discharged home (85%), while 10% were discharged to long-term care (LTC) and 5% to acute care facilities. Higher admission FIM and MoCA scores were significantly associated with home discharge. Older age, lower functional and cognitive scores, multiple comorbidities, and hemorrhagic stroke were associated with LTC placement and delayed discharge. Multivariable analysis identified admission FIM score, MoCA score, and stroke type as independent predictors of LTC placement. Delayed discharge occurred in 27.4% of patients and was significantly associated with poorer functional and cognitive performance and inadequate family support.</p> Conclusion <p>Early functional and cognitive assessment utilizing FIM and MoCA can facilitate the prediction of discharge destination and the identification of patients at risk for delayed discharge. Incorporating family-centered discharge planning may improve discharge efficiency and reduce reliance on institutional care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Predictors of discharge destination of stroke patients from inpatient rehabilitation center, including difficult discharge cases

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月21日

查看全文
  • Enas M. Mekkawy,
  • Nouf M. AlMefqaee,
  • Nujud S. AlZahrani,
  • Lama AlMassad,
  • Hamad Alanazi,
  • Reem Safhi,
  • Amer Alanazi

摘要

Background

After finishing a stroke rehabilitation program, patients’ discharge destinations as well as the incidence of delayed discharge can substantially influence both patient care and the efficiency of the healthcare system. Identifying early predictors of these outcomes may improve discharge planning and better utilization of rehabilitation resources.

Methods

The study included 226 stroke patients who received an inpatient rehabilitation program. Data were collected retrospectively from patients’ records, including stroke severity, which was measured by national institute of health stroke scale (NIHSS); functional status using functional independence measure (FIM); and cognitive function, using the Montreal cognitive assessment (MoCA).

Results

Most patients were discharged home (85%), while 10% were discharged to long-term care (LTC) and 5% to acute care facilities. Higher admission FIM and MoCA scores were significantly associated with home discharge. Older age, lower functional and cognitive scores, multiple comorbidities, and hemorrhagic stroke were associated with LTC placement and delayed discharge. Multivariable analysis identified admission FIM score, MoCA score, and stroke type as independent predictors of LTC placement. Delayed discharge occurred in 27.4% of patients and was significantly associated with poorer functional and cognitive performance and inadequate family support.

Conclusion

Early functional and cognitive assessment utilizing FIM and MoCA can facilitate the prediction of discharge destination and the identification of patients at risk for delayed discharge. Incorporating family-centered discharge planning may improve discharge efficiency and reduce reliance on institutional care.