Abstract
The difference in functional prognosis by the time of transfer to convalescence sickbed was evaluated from the acute stage sickbed in 59 stroke patients using the motor FIM. The whole home return rate was 79.6%. The motor FIM at admission, in the patient group which was transferred within 1 month of development of symptoms, improved from 50.5 to 75.4 (FIM gain, 24.9) at discharge. The motor FIM in the group transferred at less than 2 months improved from 51.6 to 66.1 (FIM gain, 14.5), and that in the group transferred at less than 3 months improved from 38.3 to 50.3 (FIM gain, 12.0). Even if viewed according to each FIM, in all items, differences were evident between each FIM. Moreover, the home return rates were 91.6%, 73.0%, and 25.0%, respectively. It was considered that a motor FIM of around 70 represented a turning point in the discharge destination (home or institution). Accordingly, in order to aim at an ADL of this level, it is required that the patient be transferred from the acute term sickbed smoothly, and within 1 month of development of symptoms at the latest.
