2026 Volume 53 Issue 1 Pages 1-9
Objective: This study aimed to develop a scoring model to predict toileting independence at discharge in patients with stroke-induced hemiplegia in a convalescent rehabilitation ward, using admission data.
Methods: This study included 207 patients with stroke-induced hemiplegia admitted to the convalescent rehabilitation ward of our hospital. Toileting independence at discharge was defined as a Functional Independence Measure (FIM) score of ≥6 for toileting and toilet transfer items. The outcome was toileting independence from toilet use at discharge. Candidate predictors included baseline demographic data and physical and cognitive functions upon admission. Logistic regression analysis identified significant predictors and developed a scoring model.
Results: The significant predictors were age (cutoff, 77.5), ability to get up (with or without assistance), FIM toilet transfer score (cutoff, 2.5), and FIM cognitive score (cutoff, 20.5). A scoring model assigning one point per criterion demonstrated high predictive accuracy for toileting independence at discharge.
Conclusion: This scoring system enables early prediction of toileting independence using admission data. This model may serve as a practical tool for discharge planning, caregiver education, and individualized rehabilitation strategies.
