Motor Independence and Home Discharge in Stroke Patients
Author Information
Author(s): Muacevic Alexander, Adler John R, Nakaizumi Dai, Uchiyama Keita, Washida Kei, Miyata Shingo
Primary Institution: Department of Physical Therapy, Graduate Course of Rehabilitation Science, Division of Health Sciences, College of Medical, Pharmaceutical, and Health Sciences, Kanazawa University
Hypothesis
This study aimed to identify combinations of independent motor FIM items associated with home discharge in stroke patients using UpSet plots.
Conclusion
Higher levels of activities of daily living independence increase the likelihood of home discharge, but complete independence is not required.
Supporting Evidence
- Independence in all 13 items was observed in 16.2% of patients discharged home.
- Independence in 12 items excluding stairs was found in 13.2% of home discharge patients.
- Independence in 10 items excluding bathing, tub transfer, and stairs was noted in 10.3% of home discharge patients.
- Dependence in all items was present in 8.1% of patients who were discharged home.
Takeaway
The study found that stroke patients can go home even if they need help with some daily activities, as long as they are independent in most others.
Methodology
Analyzed 205 stroke patients using UpSet plots to visualize combinations of independent motor FIM items at discharge.
Limitations
Did not include data on social background and detailed cognitive function; excluded severe cases and conducted at a single facility.
Participant Demographics
Median age of participants was 78 years, with 54% male.
Digital Object Identifier (DOI)
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