http://www.sciencedirect.com/science/article/pii/S1873959817301175
- Open Access funded by Taiwan Society of Geriatric Emergency & Critical Care Medicine
- Under a Creative Commons license
Summary
Background
The predictors for failure of home discharge after post-acute inpatient stroke rehabilitation need investigation.
Methods
With
this retrospective case-control study conducted in a stroke
rehabilitation unit in one tertiary hospital, data of 297 eligible
stroke patients regarding patient demographics, family information,
disease and function were collected. The primary outcome was failure of
home discharge.
Results
One
hundred and eighteen of 297 stroke patients (mean age 63 years, 37%
women) failed to discharge home, including 109 admitted to
rehabilitation hospitals and 9 to long-term care facilities. An inverse
trend existed between numbers of daughters and the risk of failure of
home discharge: having three or more daughters significantly lowers the
risks for poor discharge destination (adjusted odds ratio, 0.23, 95%
confidence interval, 0.07–0.72; test for trend, p = 0.002).
Conclusion
Having more daughters independently predicts home discharge after post-acute inpatient stroke rehabilitation.
Keywords
- stroke;
- rehabilitation;
- discharge;
- social support;
- daughter
1. Introduction
Discharge
disposition is a health issue at the participation level and an
important health outcome which increasingly gathers attention.1
For stroke patients, the first and crucial disposition happens after
discharge from post-acute inpatient rehabilitation ward. Failure to
return home may compromise the quality of lives of stroke patients and
families.2
Understanding its predicting factors helps health professionals to
provide counseling and helps policy makers in improving case referral
and long term care systems.
Previous
studies identified social support and committed caregivers as important
protecting factors for good functional and discharge outcomes.3 Among committed caregivers, spouses are best-recognized.4
While children might be similarly important on disabled parents' care,
their influences are less understood. Daughters are proved to take more
responsibility than sons in direct caregiving for disabled parents.5
Asian families tend to depend more on informal caregiver support than
other ethnic groups and therefore are more suitable for studying such
effects.6
We
hypothesized that stroke patients with more daughters are less likely
to suffer a poor discharge outcome after post-acute inpatient
rehabilitation. Having daughters may be an independent protective
factor.
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