A model for predicting delay in discharge of stroke patients

Segundo, R.M. San; Aguilar, J.J.; Santos, Fernando dos; Usabiaga, T.

doi:10.1016/j.annrmp.2006.06.005

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…Social factors and supports are important considerations in rehabilitation assessments. Patients with stronger family, social and financial supports have better rehabilitation outcomes [47,48] and are less likely to be discharged to institutionalized care [5,10,49].…”

Section: Social Factorsmentioning

confidence: 99%

The Assessment and Selection of Potential Rehabilitation Patients in Acute Hospitals: A Literature Review and Commentary

New¹

2009

TOREHJ

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Section: Social Factorsmentioning

confidence: 99%

The Assessment and Selection of Potential Rehabilitation Patients in Acute Hospitals: A Literature Review and Commentary

New¹

2009

TOREHJ

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“…[19] The family and social support available to a patient. [20] Home adaptation and/or assistive technology support available to the patient. [20] Decisions relating to potential to benefit from rehabilitation are often based on simple models that consider a small subset of the above factors.…”

Section: Introductionmentioning

confidence: 99%

“…[20] Home adaptation and/or assistive technology support available to the patient. [20] Decisions relating to potential to benefit from rehabilitation are often based on simple models that consider a small subset of the above factors. Common measures that are used to guide such decisions include the severity of the stroke, as assessed by standardized assessments such as the Barthel Index [21] or the Functional Independence Measure, [22] the site and size of the lesion, premorbid health and abilities.…”

Section: Introductionmentioning

confidence: 99%

Accessing rehabilitation after stroke – a guessing game?

Enderby

Pandyan

Bowen

et al. 2016

Disability and Rehabilitation

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Aim: To explore the use, meaning and value of the term ''rehabilitation potential''. Method: The authors of this commentary met to discuss concerns relating to the pressure on health service staff created by reduced length of stay in acute settings of those who have suffered a stroke and the need to determine the potential of a patient for rehabilitation in order to inform discharge arrangements. Points raised at this meeting were shared with an email group who over a 12-month period contributed to this paper. Results: The group agreed that: (a) Given that there is very limited evidence to guide judgements regarding rehabilitation potential following stroke at an early stage the need for rehabilitation needs to be reviewed on a regular basis over a long period and that this needs to be reflected in clinical guidelines. (b) Rehabilitation needs to be available in a broad range of care settings, in order that discharge from hospital is not equated with a lack of rehabilitation potential. (c) Research related to rehabilitation potential needs to be conducted. This should examine influences of decision-making and the algorithms associated with recovery and local policy on rehabilitation potential. (d) The economic benefits of rehabilitation needs further exploration. (e) Assessment of rehabilitation potential should be made more explicit and supported by appropriate evidence. Conclusion: Whilst further research is required to assist in determining the right time for people to benefit from formal rehabilitation this gives the impression that one dose of rehabilitation at a specific time will meet all needs. It is likely that a rehabilitation pathway identifying features required in the early stages following stroke as well as that required over many years in order to prevent readmission, maintain fitness and prevent secondary sequelae such as depression and social isolation would be beneficial. ä IMPLICATIONS FOR REHABILITATION

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