Cognitive Functioning in the Acute Phase Poststroke: A Predictor of Discharge Destination?

A Case for the Implementation of Cognitive-Communication Screenings in Acute Stroke

“…However, the potential long-term consequences of unidentified cognitive-communication impairments are also serious and include higher risk of death, recurrent stroke, and lack of independence and mobility (Donovan et al, 2008;Tatemichi et al, 1994). Indeed, cognitive screening in the acute-care phase after stroke, such as ability to eat and swallow, is a significant contributor to successful discharge planning (van der Zwaluw, Valentijn, Nieuwenhuis-Mark, Rasquin, & van Huegten, 2011).…”

Discharge home after acute stroke: Differences between older and younger patients

“…From the literature it becomes clear that discharge destination is related to post-admission functional ability, age, cognitive abilities, and availability of social support (4)(5)(6). A systematic review showed that older patients with more comorbidities are more likely to be discharged to inpatient rehabilitation or long-term care after an acute stroke, rather than being discharged home (7).…”

Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation

“…Current research has identified several predictors of long-term mobility skills (6-12 months post-stroke), including cognitive impairment and recovery, initial walking speed and distance, balance, age, and presence of depressive symptoms (8)(9)(10)(11). Research focused on discharge destination has found age, social support, sitting balance, cognition, and stroke severity to be significant predictors (12)(13)(14)(15)(16). However, despite the knowledge that most walking recovery will occur in the first 11 weeks after stroke (6), few studies have focused on predictors of walking improvement during this early time-period.…”