Prediction of discharge destination after stroke using the motor assessment scale on admission: a prospective, multisite study.

Abstract:

OBJECTIVE:To determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation. DESIGN:Cohort study. SETTING:Inpatient rehabilitation units. PARTICIPANTS:Adults (N=566) diagnosed with stroke undergoing inpatient physiotherapy at one of 15 units in Australia. INTERVENTION:Multidisciplinary rehabilitation. MAIN OUTCOME MEASURE:Discharge home versus residential aged care. RESULTS:Prestroke residential status, gait ability measured with the MAS (MAS-5), rolling ability (MAS-1), and age were able to correctly predict 99% of patients with stroke discharged home and 33.3% discharged to residential aged care facilities, producing an accuracy of 87.3%. Odds ratios indicate that for every 1-point increase in MAS-5 (gait), subjects were 1.66 times more likely to go home (95% confidence interval [CI], 1.28-2.27; P<.001). Similarly, for every 1-point increase in MAS-1 (rolling), subjects were 1.28 times more likely to go home (95% CI, 1.11-1.49; P<.01). CONCLUSIONS:Two items of the MAS assessed on admission to rehabilitation-gait and rolling-in conjunction with basic demographic information of age and prestroke residential status, were highly predictive of discharge from rehabilitation to home.

journal_name

Arch Phys Med Rehabil

authors

Brauer SG,Bew PG,Kuys SS,Lynch MR,Morrison G

doi

10.1016/j.apmr.2007.10.042

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1061-5

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(08)00174-3

journal_volume

89

pub_type

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