Factors related to interrupted inpatient stroke rehabilitation due to acute care transfer or death.

Abstract:

OBJECTIVES:To identify factors that are independently related to interrupted stroke rehabilitation due to acute care transfer or death. METHODS:Medical records of stroke inpatients admitted from 2012 to 2017 were reviewed. Stroke inpatients with interrupted stroke rehabilitation due to acute care transfer or death were enrolled into the case group. Those without interruption admitted in the same month were randomly selected into the control group (case to control ratio of 1 : 5). Ten clinical factors were studied. RESULTS:Among stroke inpatients, 3.2% were transferred to acute care facilities and 0.2% died. The most common causes of acute care transfer were respiratory tract infection, intracranial hemorrhage, recurrent ischemic stroke, ischemic heart disease, and seizure. Three factors were found to be significantly associated with interrupted stroke rehabilitation, i.e. presence of feeding tube, presence of anemia and age. Our results also revealed significant association between presence of feeding tube and respiratory tract infection (p = 0.005). CONCLUSION:Feeding tube, anemia and old age were identified as independent predictors of interrupted stroke rehabilitation due to acute care transfer or death. Interventions to reduce severe complications should be implemented in order to prevent interruption of rehabilitation process and to reduce the patient transfer rate.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Pongratanakul R,Thitisakulchai P,Kuptniratsaikul V

doi

10.3233/NRE-203187

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

171-179

issue

2

eissn

1053-8135

issn

1878-6448

pii

NRE203187

journal_volume

47

pub_type

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