Swallowing function and nutritional status affect discharge home after convalescent rehabilitation
2020 Volume 2 Issue 4 Pages 262-269
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2020 Volume 2 Issue 4 Pages 262-269
Purpose: We investigated the factors associated with discharge home from convalescent rehabilitation wards.
Methods: In a retrospective cohort study of all patients discharged from convalescent rehabilitation wards between 2016 and 2018, we focused on those with stroke and hip fracture. Activities of daily living were assessed using the Functional Independence Measure (FIM) and nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA-SF). Factors associated with discharge home were examined by logistic regression analysis.
Results: Of the total 2,184 patients discharged, 637 had a stroke (44% women; age 72 years) and 348 had hip fracture (73% women; age 78 years) . The factors associated with discharge home in stroke patients were living at home before admission (OR 10.6), FIM-motor component score at discharge (OR 1.056), and swallowing function at discharge (OR 1.4). Those associated with discharge home in hip fracture patients were living at home before admission (OR 74.7) and MNA-SF score at discharge (OR 1.516).
Conclusion: Swallowing function and nutritional status at discharge were associated with discharge home in patients with stroke and hip fracture, respectively.
