Back to Search Start Over

Shorter Interval between Onset and Admission to Convalescent Rehabilitation Wards Is Associated with Improved Outcomes in Ischemic Stroke Patients.

Shorter Interval between Onset and Admission to Convalescent Rehabilitation Wards Is Associated with Improved Outcomes in Ischemic Stroke Patients.

Authors :
Yoshihiro Yoshimura
Hidetaka Wakabayashi
Ryo Momosaki
Fumihiko Nagano
Sayuri Shimazu
Ai Shiraishi
Source :
Tohoku Journal of Experimental Medicine; Sep2020, Vol. 252 Issue 1, p15-22, 8p
Publication Year :
2020

Abstract

As Japan's population ages, there is a growing interest in regional health care coordination. Our study aimed to evaluate whether the interval between onset and admission to convalescent rehabilitation wards (onset-admission) was associated with outcomes in ischemic stroke patients. We conducted a retrospective cohort study in a single rehabilitation hospital. Ischemic stroke patients consecutively admitted to the wards were eligible to enroll. Outcomes included Functional Independence Measure (FIM)- motor gain, the Food Intake Level Scale (FILS) and a discharge rate to home. FIM assesses functional independence, including motor (FIM-motor) and cognitive domains, and is a measure of activities of daily living (ADLs). The FIM-motor gain indicates the difference between the FIM-motor scores at admission and discharge. FILS is a 10-point observer-rated scale to measure swallowing. After enrollment, 481 patients (mean age 74.4 years; 45.7% women) were included. The median [interquartile range] onset-admission interval was 13 [10-20] days and the median National Institute of Health Stroke Scale score, a measure of stroke severity, was 8 [3-13]. In multivariate analysis, the onset-admission interval was independently associated with FIM-motor gain (β = -0.107, p = 0.024), FILS score at discharge (β = -0.159, p = 0.041), and the rate of discharge to home (odds ratio: 0.946, p = 0.032). In conclusion, a shorter interval between stroke onset and admission to convalescent rehabilitation wards contributes to improved outcomes, including ADLs, dysphagia, and a discharge rate to home, in ischemic stroke patients, regardless of stroke severity. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00408727
Volume :
252
Issue :
1
Database :
Supplemental Index
Journal :
Tohoku Journal of Experimental Medicine
Publication Type :
Academic Journal
Accession number :
146418603
Full Text :
https://doi.org/10.1620/tjem.252.15