[Purpose] To identify factors that affect the return to solitary living of patients with
stroke who had lived alone prior to stroke onset. [Participants and Methods] From January
2017 to March 2020, we enrolled a total of 103 patients with stroke who had lived alone
prior to stroke onset and retrospectively analyzed their age, gender, length of hospital
stay, outcome (return to living alone or not), functional independence measure at
discharge, and social score at discharge. We also analyzed the relationship between the
above factors and the outcome. [Results] Functional independence measure and social score
at discharge were significantly associated with the outcome. The cutoff value of the
functional independence measure at discharge was 91 (area under the curve: 0.91;
sensitivity: 0.96; specificity: 0.72), while the rate of return to living alone was 23.5%
when the social score was ≥3. The sensitivity and specificity for return to living alone
were 0.91 and 0.88, respectively, when cutoff values of the functional independence
measure and social score at discharge were 91 and 3, respectively. [Conclusion] Social
factors and ability to perform activities of daily living are important for return to
solitary living for patients with stroke who lived alone prior to stroke onset.