Keiichiro Aoki, OT, Ms, Akihiro Iguchi, PT, Ms, Takayuki Watabe, OT, PhD
Jpn J Compr Rehabil Sci 11: 17-20, 2020
Objective: To determine whether certain Functional
Independence Measure (FIM) items assessed early
during acute-stage rehabilitation are predictive of
home discharge for patients with stroke following
intervention.
Methods: Medical record data were retrospectively
compiled and analyzed for 103 patients with stroke
admitted to our hospital between December 2016 and
March 2017. Patients were either discharged to their
own homes (n=41) or transferred to another facility
(n=62) after acute-phase rehabilitation. Fisher’s exact
test was used to compare characteristics between the
home and transfer groups. Stepwise multiple logistic
regression analysis was also performed to identify
FIM items predictive of patients’ discharge destination.
Results: Significant differences between the home and
transfer groups were observed for all FIM items,
except for shower/tub transfer and stairs. Eating and
social interaction were identified as significant
predictors of the post-rehabilitation destination in
multiple logistic regression analysis (p=0.001, odds
ratio [OR]: 10.956, 95% confidence interval [CI]:
0.638‐1.755; p=0.008, OR: 4.273, CI: 0.182‐1.269,
respectively).
Conclusion: In some cases, early assessment of FIM
items, particularly eating and social interaction, after a
stroke can help predict a patient’s discharge destination
after rehabilitation.
Key words: acute phase, stroke, outcome