scholarly journals Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study

2020 ◽  
Vol 5 (0) ◽  
pp. n/a
Author(s):  
Kensaku Uchida ◽  
Yuki Uchiyama ◽  
Kazuhisa Domen ◽  
Tetsuo Koyama
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Logistic Modeling ◽  
Motor Subscale ◽  
Modeling Study

scholarly journals Acute Care of Ischemic Stroke Patients in the Hospital

2015 ◽  
Vol 35 (06) ◽  
pp. 629-637
Author(s):  
Ahmad Thabet ◽  
S. Josephson ◽  
Karl Meisel
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Stroke Patients

scholarly journals Post–Acute Care Data for Predicting Readmission After Ischemic Stroke: A Nationwide Cohort Analysis Using the Minimum Data Set

2015 ◽  
Vol 4 (9) ◽  
Author(s):  
Corey R. Fehnel ◽  
Yoojin Lee ◽  
Linda C. Wendell ◽  
Bradford B. Thompson ◽  
N. Stevenson Potter ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Cohort Analysis ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Post Acute Care

scholarly journals PST4 DIFFERENCES IN DISCHARGE LOCATION FOR PATIENTS WITH MULTIPLE ISCHEMIC STROKE ADMISSIONS: IMPLICATIONS FOR POST-ACUTE CARE COSTS

2006 ◽  
Vol 9 (6) ◽  
pp. A330
Author(s):  
JA O'Brien ◽  
PA Duran ◽  
JJ Caro
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Discharge Location ◽  
Care Costs ◽  
Post Acute Care

Abstract T P127: Look Past the NIHSS! Rehabilitation Metrics that Predict Home Discharge in Ischemic Stroke Patients

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Nneka Ifejika ◽  
Linda Aramburo-Maldonado ◽  
Chunyan Cai ◽  
Melvin R Sline ◽  
Elizabeth A Noser ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Assisted Living ◽  
Stroke Rehabilitation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Advanced Age ◽  
Nursing Facilities ◽  
Stroke Patients ◽  
Home Discharge

Introduction: The goals of stroke rehabilitation are to restore functional ability and to return patients' home with a good quality of life. There is a paucity of data on stroke rehabilitation tools that both track improvements and help predict the likelihood of home discharge. Hypothesis: Improvement in functional independence measure (FIM) score increases home discharge rates, decreases acute care readmissions and decreases placement in skilled nursing facilities (SNF). Advanced age and infections such as symptomatic UTI (SUTI) negate FIM score improvement. Methods: We merged the prospectively collected Stroke and Neurorehabilitation Registries at our comprehensive stroke center, identifying ischemic stroke patients admitted between January 2011 and November 2013 (n=367). Demographics, rehabilitation metrics and NIHSS were collected. Age, SUTI, discharge FIM and rehabilitation length of stay (LOS Rehab) were included in the multivariate regression. Results: Of 367 ischemic stroke patients, 273 went home, 47 to a SNF, 25 to acute care and 22 to another facility (i.e.,assisted living, board and care). All patients tolerated 3 hours of daily therapy (PT, OT, SLP). Despite median NIHSS values of 9 in both groups (P=0.356), patients with SUTI had lower FIM scores on admission (49.2 ± 13.9 vs. 56.8±15.2; P<0.0001) and discharge (68.5 ± 16.9 vs. 76.3 ± 17.0; P<0.0001). For a one year age increase, there was a 5% increase in SNF admit (OR 1.05, 95%CI 1.02-1.08; P<0.001) compared to home. For a one unit increase in FIM, there was a 4% decrease in another facility admit (OR 0.96, 95% CI 0.93 to 0.99; P<0.01), a 6% decrease in SNF admit (OR 0.94, 95%CI 0.92-0.96; P<0.001) and a 10% decrease in acute care readmit (OR 0.90, 95% CI 0.88-0.94; P<0.0001) compared to home. For a one day increase in LOS Rehab, there was a 19% decrease in acute care readmit (OR 0.81, 95% CI 0.73-0.89; P<0.0001) compared to home, and a 7% increase in home discharge compared to another facility (OR 1.07, 95% CI 1.02 to 1.12; P<0.001). Conclusions: Improved FIM score and increased LOS Rehab were the primary criteria for home discharge after stroke rehabilitation. Advanced age increased the likelihood of SNF placement. SUTI impacted rehabilitation progress, but did not affect discharge to home.

scholarly journals Relationship between Three-year Survival and Functional Outcome at Discharge from Acute-care Hospitals in Each Subtype of First-ever Ischemic Stroke Patients

2011 ◽  
Vol 50 (13) ◽  
pp. 1377-1383 ◽  
Author(s):  
Yutaka Suto ◽  
Hisanori Kowa ◽  
Hiroyuki Nakayasu ◽  
Etsuko Awaki ◽  
Jun Saito ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Functional Outcome ◽  
Acute Care ◽  
Acute Care Hospitals ◽  
Stroke Patients

scholarly journals Costs of Acute Care of First-Ever Ischemic Stroke in Taiwan

Stroke ◽  
2003 ◽  
Vol 34 (11) ◽  
Author(s):  
Ku-Chou Chang ◽  
Mei-Chiun Tseng
Keyword(s):  
Ischemic Stroke ◽  
Acute Care

scholarly journals Adherence to Acute Care Measures Affects Mortality in Patients with Ischemic Stroke: The Florida Stroke Registry

2021 ◽  
Vol 30 (3) ◽  
pp. 105586
Author(s):  
Hannah Gardener ◽  
Tatjana Rundek ◽  
Judith Lichtman ◽  
Erica Leifheit ◽  
Kefeng Wang ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Stroke Registry

scholarly journals Outcome Prediction for Patients With Ischemic Stroke in Acute Care: New Three-Level Model by Eating and Bladder Functions

2021 ◽  
Author(s):  
Kensaku Uchida ◽  
Yuki Uchiyama ◽  
Kazuhisa Domen ◽  
Tetsuo Koyama
Keyword(s):  
Ischemic Stroke ◽  
Acute Care ◽  
Outcome Prediction ◽  
Level Model

Pre-stroke dementia does not affect the post-acute care functional outcome of old patients with ischemic stroke

2015 ◽  
Vol 16 (8) ◽  
pp. 928-933 ◽  
Author(s):  
Eliyahu-Hayim Mizrahi ◽  
Marina Arad ◽  
Abraham Adunsky
Keyword(s):  
Ischemic Stroke ◽  
Functional Outcome ◽  
Acute Care ◽  
Old Patients ◽  
Post Acute Care
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