Determinants of rehabilitation outcome in geriatric patients admitted to skilled nursing facilities after stroke: a Dutch multi-centre cohort study

作者：Spruit van Eijk Monica^*; Zuidema Sytse U; Buijck Bianca I; Koopmans Raymond T C M; Geurts Alexander C H

来源：Age and Ageing, 2012, 41(6): 746-752.

DOI：10.1093/ageing/afs105

• stroke
• rehabilitation
• geriatric
• multi-centre study
• skilled nursing facilities
• older people

Objective: to identify important demographic, clinical and functional determinants of successful discharge of geriatric patients from skilled nursing facilities (SNFs), particularly the role of multi-morbidity. %26lt;br%26gt;Design: prospective cohort study with data collection at baseline and at discharge. %26lt;br%26gt;Setting: fifteen SNFs in the Netherlands. %26lt;br%26gt;Participants: of 378 eligible patients, 186 were included. %26lt;br%26gt;Methods: multi-disciplinary teams recorded demographic and disease characteristics, as well as functional status, cognitive functioning and multi-morbidity on admission. The study outcomes were discharge to an independent living situation within 1 year of admission and functional status at discharge (Barthel index). %26lt;br%26gt;Results: of the included 186 patients, 175 were followed up. Of these patients, 123 (70%) were successfully discharged. High Berg Balance Scale (BBS) and Star Cancellation test (SCT) scores independently contributed to 48% of the variance of functional status at discharge, while low age, high BBS and SCT scores were independently related to successful discharge, explaining 33% of the variance. Multi-morbidity was not an independent determinant of rehabilitation outcome. %26lt;br%26gt;Conclusion: geriatric patients admitted for %26apos;low intensity%26apos; rehabilitation in SNFs after stroke appeared to have a fair prognosis for being successfully discharged. Postural control was an important determinant of both outcome measures.

• 出版日期2012-11