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.

Tuesday, August 29, 2017

Having More Daughters Independently Predicts Home Discharge in Stroke Patients Admitted to Inpatient Rehabilitation Ward

This just gives your doctor and hospital better excuses for not needing to get you 100% recovered. 
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.

More at link.

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