Ken Sato, MD
Jpn J Compr Rehabil Sci 11: 43-48, 2020
Purpose: To identify predictive factors of home
discharge in elderly stroke patients hospitalized in our
convalescent rehabilitation ward based on markers
determined during hospitalization and to evaluate their
predictive capability.
Methods: Parameters measured at hospitalization in
179 elderly stroke patients aged ->65 years hospitalized
between April 1, 2015 and July 1, 2018 were compared
after dividing the patients into two groups depending
on whether they were discharged home. In addition,
multivariate analysis was performed using whether
home discharge was possible as the objective variable
to prepare a prediction formula and receiver operating
characteristic (ROC) curves.
Results: A total of 150 patients (84%) were discharged
home. Differences in acute phase hospitalization duration,
number of cohabiting people, National Institutes of
Health Stroke Scale at the time of onset, functional
independence measure (FIM) at hospitalization, food
type, and nutritional evaluation were significant between
the two groups. Multivariate analysis revealed significant
differences for acute phase hospitalization duration,
number of cohabiting people, and FIM at hospitalization.
The area under the curve for the ROC curve was 0.891.
Conclusions: The results indicated that the
combination of acute phase hospitalization duration,
number of cohabiting people, and FIM at hospitalization
could be used as a predictive factor for home discharge
in elderly stroke patients hospitalized in a convalescent
rehabilitation ward.
Key words: elderly individuals, stroke, home discharge predictive factors, convalescent rehabilitation