2022 Volume 49 Issue 2 Pages 99-105
Objectives: The aim of this study was to examine the background factors of Functional Independence Measure (FIM) at the time of discharge, and to clarify the relationship between these background factors and admission ability in severe stroke patients.
Methods: Forty-seven first stroke patients whose FIM motor scores were less than 38 at the time of admission into the convalescent rehabilitation ward were included in the study. First, a factor analysis was conducted using the patients' FIM motor scores at discharge. Second, the partial correlation coefficients while controlling for age and the number of days from onset to hospitalization were analyzed based on the obtained factor scores, the Functional Movement Scale (FMS) scores, and the FIM scores on admission.
Results: All the patients who were discharged to home required a caregiver. The factor analysis revealed two factors. Of the 15 patients who were discharged, 14 patients had a factor score of 0 or higher on the second factor related to eating and grooming. The first factor was highly correlated with FMS, whereas the second factor was highly correlated with FIM cognitive items at admission.
Conclusion: Higher scores on both factors are more likely to lead to discharge home. FMS and FIM cognitive items at admission may help to predict both factors.
