%0 Journal Article
%T Using population
%A Daniel Thornton
%A Dipankar Dutta
%A Emily Bowen
%J Clinical Rehabilitation
%@ 1477-0873
%D 2018
%R 10.1177/0269215517748715
%X We investigated factors associated with Care Home (CH) discharge following stroke using routinely collected data in unselected patients and assessed the relevance of previous research findings to such patients seen in routine clinical practice. Retrospective analysis of data from the Sentinel Stroke National Audit Programme using univariate analysis and logistic regression. A large acute and rehabilitation UK stroke unit with access to early supported discharge. All patients with stroke treated from 1 January 2014 to 1 January 2017. National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS). Of 2584 patients (median age 78ˋyears, interquartile range (IQR) 69每86; 50.6% male; 86.7% infarcts; median admission NIHSS 4, IQR 2每9), 401 (15.5%) died in hospital and 203 patients (7.9%) were permanently discharged to CH for the first time. Most had pre-discharge mRS scores of 4/5. Factors (odds ratios; 95% confidence intervals) associated with CH discharge included age (1.07; 1.05每1.10), incontinence (11.5; 7.13每19.25), dysphagia (2.13; 1.39每3.29), severe weakness (1.93; 1.28每2.92), pneumonia (1.68; 1.13每2.50), urinary tract infection (UTI) (1.70; 1.04每2.75) and depression (1.65; 1.00每2.72). In a subgroup of all patients with a pre-discharge mRS of 4/5, age (1.04; 1.02每1.06), incontinence (4.87; 2.39每11.02), UTI (2.0; 1.09每3.71) and pneumonia (1.59; 1.02每2.50) were the only factors associated with CH discharge. Potentially modifiable variables like incontinence, UTI and pneumonia were associated with CH discharge, particularly in the severely disabled
%K Rehabilitation
%K stroke
%K discharge to care home
%K associated factors
%U https://journals.sagepub.com/doi/full/10.1177/0269215517748715