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

Dutrieux, R.D.; Eijk, Monica van; Mierlo, Marloes L. van; Heugten, Caroline van; Visser‐Meily, Johanna M. A.; Achterberg, Wilco P.

doi:10.2340/16501977-2045

Cited by 41 publications

(38 citation statements)

References 27 publications

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“…Other studies have investigated the role of discharge disposition on readmission rates among patients hospitalised for other conditions . However, this is the first study to demonstrate a relationship between discharge dispositon and readmission rates within a sample of patients hospitalised for CAP, among whom discharge home with HHC conferred a 58% greater risk‐adjusted likelihood of 30‐day readmission.…”

Section: Discussionmentioning

confidence: 83%

“…However, few studies have rigorously investigated the relationship of discharge disposition and the risk of readmission in CAP patients. In particular, while discharge disposition has been linked to readmission among patients admitted for other conditions, such as hip fractures, dementia, chronic obstructive pulmonary disease (COPD) and stroke, there is no literature on this relationship among patients hospitalised for CAP …”

Section: Discussionmentioning

confidence: 99%

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Discharge disposition as an independent predictor of readmission among patients hospitalised for community-acquired pneumonia

et al. 2017

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Discharge disposition as an independent predictor of readmission among patients hospitalised for community-acquired pneumonia

et al. 2017

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“…The positive association between lower age and participation confirms the importance of age in the prediction of long-term participation restrictions. Furthermore, despite the importance of having a spouse for determining discharge destination was highlighted by a recent study [43], the presence or absence of a spouse was not associated with favorable or unfavorable participation one year after stroke.…”

Section: Predictors Of Favorable Participation Outcomementioning

confidence: 99%

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Graaf

Mierlo

Post

et al. 2017

Disability and Rehabilitation

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Purpose: This study aims to (1) assess differences in participation restrictions between stroke survivors aged under and over 70 years and (2) identify predictors associated with favorable and unfavorable longterm participation in both age groups. Methods: Prospective cohort study in which 326 patients were assessed at stroke onset, two months and one year after stroke. The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was used to measure participation restrictions one year after stroke. Bivariate and multivariate logistic regression analyses were performed including demographic factors, stroke-related factors, emotional functioning and comorbidity as possible predictors. Results: Stroke survivors aged over 70 years perceived more participation restrictions in comparison to stroke survivors aged under 70 years one year after stroke. Independently significant predictors for unfavorable participation outcomes were advancing age, more severe stroke and anxiety symptoms in patients aged over 70 years, and female gender, more severe stroke, impaired cognition and depression symptoms in patients aged under 70 years. Lower age was the only independent predictor associated with favorable participation after one year in stroke survivors aged over 70 years. Conclusions: This study emphasizes the need to pay more attention to participation restrictions in elderly stroke survivors. ä IMPLICATIONS FOR REHABILITATIONMore attention in the rehabilitation process should be paid to restrictions in participation of stroke survivors aged older than 70 years, taking into account the different participation needs and predictors of older stroke survivors. Early screening on the presence of anxiety symptoms could potentially prevent long-term restrictions in participation in stroke survivors aged over 70-year old. Stroke survivors experience considerable restrictions in physical activity and mobility after one year, highlighting the need for the development of community-based exercise programs for stroke survivors.ARTICLE HISTORY

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“…Each year approximately 795,000 people in the United States experience strokes, of which eighty per cent are ischaemic strokes (Mozaffarian et al, 2015). Nearly half, if not more, of all ischaemic stroke survivors (ISSs) are discharged from hospital directly to home (Dutrieux et al, 2016;Mozaffarian et al, 2015). ISSs suffer from fatigue and difficulty communicating, adverse psychological reactions (e.g., anxiety and stress) and/or impaired cognitive function (e.g., inability to focus on multiple tasks) (Nadarajah & Goh, 2015;Winstein et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Stroke survivors’ experiences transitioning from hospital to home

Connolly

Mahoney

2018

Journal of Clinical Nursing

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

Abstract: The presence of a spouse is an additional important factor determining discharge home in older stroke patients. It is important to monitor and support informal caregivers in order to provide appropriate care for older community-dwelling stroke patients.

Cited by 41 publications

References 27 publications

Discharge disposition as an independent predictor of readmission among patients hospitalised for community-acquired pneumonia

Discharge disposition as an independent predictor of readmission among patients hospitalised for community-acquired pneumonia

Long-term restrictions in participation in stroke survivors under and over 70 years of age

Stroke survivors’ experiences transitioning from hospital to home

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