PMID- 33815025
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220421
IS  - 1876-4398 (Electronic)
IS  - 1569-1861 (Print)
IS  - 1569-1861 (Linking)
VI  - 33
IP  - 2
DP  - 2020 Dec
TI  - Factors predicting clinically significant functional gain and discharge to home 
      in stroke in-patients after rehabilitation - A retrospective cohort study.
PG  - 63-72
LID - 10.1177/1569186120979428 [doi]
AB  - OBJECTIVE: This study explored factors which predict stroke survivors who could 
      achieve "clinically significant functional gain" and return home when being 
      discharged from a local hospital after in-patient stroke rehabilitation 
      programme. METHODS: This study included 562 inpatients with stroke who were 
      residing at community dwellings before onset of stroke, and transferred to a 
      convalescent hospital for rehabilitation from four acute hospitals over one year. 
      The main outcome variables of prediction were (a) achieving "clinically 
      significant functional gain" as measured by (a1) achievement of "minimal 
      clinically important difference" (MCID) of improvement in Functional Independence 
      Measure Motor Measure (FIM-MM)", (a2) one or more level(s) of improvement in 
      function group according to the patients' FIM-MM, and (b) discharge to home. 
      Sixteen predictor variables were identified and studied firstly with univariate 
      binary logistic regression and those significant variables were then put into 
      multivariate binary logistic regression. RESULTS: Based on multivariate 
      regression, the significant predictors for "clinically significant functional 
      gain" were: younger age <75 years old, higher Glasgow Coma Scale score at 
      admission, with haemorrhagic stroke, intermediate FIM-MM function group. Those 
      significant predictors for "discharge to home" were: living with 
      family/caregivers before stroke, higher FIM score at admission, and one or more 
      level(s) of improvement in FIM-MM function group. CONCLUSIONS: This study 
      identified findings consistent with overseas studies in additional to some new 
      interesting findings. Early prediction of stroke discharge outcomes helps 
      rehabilitation professionals and occupational therapists to focus on the use of 
      appropriate intervention strategies and pre-discharge preparation.
CI  - (c) The Author(s) 2020.
FAU - Li, Tony Kwun-Tak
AU  - Li TK
AUID- ORCID: 0000-0001-7273-3500
AD  - Department of Occupational Therapy, Kowloon Hospital, HKSAR.
FAU - Ng, Bobby Hin-Po
AU  - Ng BH
AUID- ORCID: 0000-0002-8203-9624
AD  - Department of Occupational Therapy, Kowloon Hospital, HKSAR.
FAU - Chan, Dora Yuk-Lin
AU  - Chan DY
AD  - Department of Occupational Therapy, Kowloon Hospital, HKSAR.
FAU - Chung, Ruthy Suet-Fan
AU  - Chung RS
AD  - Department of Occupational Therapy, Kowloon Hospital, HKSAR.
FAU - Yu, Kim-Kam
AU  - Yu KK
AD  - Department of Rehabilitation, Kowloon Hospital, HKSAR.
LA  - eng
PT  - Journal Article
DEP - 20201217
PL  - United States
TA  - Hong Kong J Occup Ther
JT  - Hong Kong journal of occupational therapy : HKJOT
JID - 101175716
PMC - PMC8008375
OTO - NOTNLM
OT  - Stroke
OT  - discharge
OT  - functional gain
OT  - functional independence measure
OT  - predictors
COIS- Declaration of conflicting interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2021/04/06 06:00
MHDA- 2021/04/06 06:01
PMCR- 2020/12/17
CRDT- 2021/04/05 05:55
PHST- 2020/10/13 00:00 [received]
PHST- 2020/11/15 00:00 [accepted]
PHST- 2021/04/05 05:55 [entrez]
PHST- 2021/04/06 06:00 [pubmed]
PHST- 2021/04/06 06:01 [medline]
PHST- 2020/12/17 00:00 [pmc-release]
AID - 10.1177_1569186120979428 [pii]
AID - 10.1177/1569186120979428 [doi]
PST - ppublish
SO  - Hong Kong J Occup Ther. 2020 Dec;33(2):63-72. doi: 10.1177/1569186120979428. Epub 
      2020 Dec 17.