2020 年 11 巻 p. 17-20
Aoki K, Iguchi A, Watabe T. Evaluation of Functional Independence Measure item scores for predicting home discharge after acute stroke rehabilitation. Jpn J Compr Rehabil Sci 2020; 11: 17-20.
Objective: To determine whether certain Functional Independence Measure (FIM) items assessed early during acute-stage rehabilitation are predictive of home discharge for patients with stroke following intervention.
Methods: Medical record data were retrospectively compiled and analyzed for 103 patients with stroke admitted to our hospital between December 2016 and March 2017. Patients were either discharged to their own homes (n=41) or transferred to another facility (n=62) after acute-phase rehabilitation. Fisher's exact test was used to compare characteristics between the home and transfer groups. Stepwise multiple logistic regression analysis was also performed to identify FIM items predictive of patients' discharge destination.
Results: Significant differences between the home and transfer groups were observed for all FIM items, except for shower/tub transfer and stairs. Eating and social interaction were identified as significant predictors of the post-rehabilitation destination in multiple logistic regression analysis (p=0.001, odds ratio [OR]: 10.956, 95% confidence interval [CI]: 0.638-1.755; p=0.008, OR: 4.273, CI: 0.182-1.269, respectively).
Conclusion: In some cases, early assessment of FIM items, particularly eating and social interaction, after a stroke can help predict a patient's discharge destination after rehabilitation.