Deans' stroke musings: Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, January 29, 2020

Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients

I see absolutely nothing here that suggests you got them 100% recovered and as such you completely failed them. There are no excuses, you have had decades of failure and could have come up with solutions in those decades if you had acknowledged how fucking bad you were at stroke rehab. But no; excuses abound.

Excuse #1. People with hemiparesis after stroke appear to recover 70 to 80 percent of the difference between their baseline and the maximum upper-extremity Fugl-Meyer (UEFM) score, a phenomenon called proportional recovery (PR).

Excuse #2. Have the potential to empower patients to take more responsibility for their rehabilitation and continue with long-term exercise. So blame the patient rather than the doctor.

Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients

BMC Geriatrics — Vluggen TPMM, et al. | January 28, 2020

Researchers sought to determine the factors associated with home discharge after inpatient rehabilitation among frail and multimorbid older stroke patients. Ninety-two community-dwelling stroke patients (mean age: 79.0 years (SD 6.4); 51.1% females) were assessed in this longitudinal cohort study. Sixteen potentially relevant factors (age; gender; household situation before admission; stroke history; cardiovascular disorders; diabetes mellitus; multimorbidity; cognitive disability; neglect; apraxia; dysphagia; urinary and bowel incontinence; emotional problems; sitting balance; daily activity level; and independence in activities of daily living) (You are missing testing for 100% recovery, all the rest is not needed then) measured at admission were examined for their association with discharge to the former living situation. Within 6 months following the start of geriatric rehabilitation, discharge to the former living situation was reported for a total of 71 patients (77.1%). Findings suggest the significant correlation of only a higher level of independence in activities of daily living at admission with home discharge.