Stroke, Vol 8, 651-651, Copyright © 1977 by American Heart Association
JS Feigenson, FH McDowell, P Meese, ML McCarthy and SD Greenberg
A retrospective analysis of 248 patients with stroke (average age 67, range
17-98) admitted to a stroke rehabilitation unit over a sixteen month period
showed that 80% of these patients were able to return home after an average
length of stay (LOS) of 43 days. At discharge 85% of the group were
ambulatory and 56% required no help in daily living activities. Severity of
weakness on admission, long onset-admission intervals, the presence of
severe perceptual or cognitive dysfunction or a homonymous hemianopsia in
addition to a motor deficit were related to unfavorable outcome and
increased LOS. The age of the patient, dysphasia or a hemisensory deficit
in addition to weakness, or diabetes, hypertension, or ASHD were unrelated
to the patients' functional status on discharge, discharge disposition, or
LOS. Many patients with "unfavorable prognostic signs" made significant
improvement after admission and were subsequently discharges. Thus, while
the above findings may predict which patients can make maximal gains in a
short term treatment facility, they also show that most patients, even
those with "poor prognostic signs," can make enough functional improvement
to be managed at home after a relatively short hospitalization.
ARTICLES
Factors influencing outcome and length of stay in a stroke rehabilitation unit. Part 1. Analysis of 248 unscreened patients-- medical and functional prognostic indicators
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