Stroke patients after neurological inpatient rehabilitation: a prospective study to determine whether functional status or health-related quality of life predict living at home 2.5 years after discharge
Grässel E, Schmidt R, Schupp W (2014)
Publication Type: Journal article
Publication year: 2014
Journal
Publisher: Lippincott, Williams & Wilkins
Book Volume: 37
Pages Range: 212-9
Journal Issue: 3
DOI: 10.1097/MRR.0000000000000060
Abstract
We carried out a prospective study to determine whether stroke patients' functional status or health-related quality of life would predict whether they lived at home 2.5 years after discharge from neurological inpatient rehabilitation. We carried out a single-center prospective cohort study. The outcome 'home care' versus 'death' or 'institutionalization' (nursing home admission) was evaluated 30 months after discharge. A total of 204 stroke survivors with remaining moderate to severe functional deficits at admission to neurological inpatient rehabilitation were included. Clinical data were obtained at admission to and/or discharge from inpatient rehabilitation. Functional status was determined using the Barthel Index; health-related quality of life was assessed using the SF-36 and EQ-5D. The outcome was assessed by telephone interview. Predictors of living at home were calculated using binary logistic regression analysis. In total, 30 months after discharge, 75% of the stroke survivors were still living at home. Multivariate analysis showed that patients continued to live at home significantly more frequently when they had fewer mortality-relevant comorbidities (P=0.001), a higher BMI (P=0.040), a higher increase in functional independence during inpatient rehabilitation (P=0.017), and above all, a better health-related quality of life, measured using the EQ-5D (P<0.001), at discharge. Stroke survivors' health-related quality of life measured with the EQ-5D and the change in functional status during multimodal neurological rehabilitation appear to be the strongest clinically relevant long-term predictors of staying at home.
Authors with CRIS profile
Involved external institutions
Germany (DE)How to cite
APA:
Grässel, E., Schmidt, R., & Schupp, W. (2014). Stroke patients after neurological inpatient rehabilitation: a prospective study to determine whether functional status or health-related quality of life predict living at home 2.5 years after discharge. International Journal of Rehabilitation Research, 37(3), 212-9. https://doi.org/10.1097/MRR.0000000000000060
MLA:
Grässel, Elmar, Ralf Schmidt, and Wilfried Schupp. "Stroke patients after neurological inpatient rehabilitation: a prospective study to determine whether functional status or health-related quality of life predict living at home 2.5 years after discharge." International Journal of Rehabilitation Research 37.3 (2014): 212-9.
BibTeX: Download