Deans' stroke musings: Predictors of patient length of stay post stroke rehabilitation

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, July 19, 2023

Predictors of patient length of stay post stroke rehabilitation

Why do this research? Survivors don't care about length of stay. They want to know EXACTLY HOW YOU'RE GETTING THEM RECOVERED!

You look at their objective damage diagnosis, which leads to exact protocols to recover from such damage. Then you look at how long it takes survivors to complete those protocols to recovery. Simple, WHY IS NOBODY DOING THAT?

Predictors of patient length of stay post stroke rehabilitation

Thea Bijl, Witness Mudzi, Nicolette Comley-White
DWhy do this researchepartment of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand.

Abstract

Background:

There is little research on length of hospital stay (LOS) in patients post stroke in South African rehabilitation
facilities. As LOS is an important indicator of cost-of-care, this information may be useful to all stakeholders.

Objectives:

To determine the predictors of hospital LOS in patients post stroke rehabilitation.

Methods:

A retrospective file review of 243 patients.

Results:

Patient functional ability was measured using the Functional Independence Measure (FIM). Predictors of LOS were determined with multiple regression analysis. The median admission and discharge FIM scores were 43 (range: 16-119) and 75(range: 16-120) points respectively. The median LOS was 43 (range: 3-112) days. Predictors of LOS were premorbid psychiatric conditions, impaired speech, requiring oxygen support, the development of pneumonia and admission FIM motor score, with
admission FIM motor score being the strongest individual predictor of LOS (41%).

Conclusion:

Admission FIM score had an influence on patient outcomes and LOS. Patients with higher admission FIM motor scores may be able to participate in rehabilitation better and thus have shorter LOS. Being able to predict LOS on admission allows facility administrators to manage bed occupancy, human and clinical resources in post stroke rehabilitation.

Keywords:

Length of stay; predictors; rehabilitation; stroke.
DOI: https://dx.doi.org/10.4314/ahs.v23i2.63
Cite as: Bijl T, Mudzi W, Comley-White N. Predictors of patient length of stay post stroke rehabilitation. Afri Health Sci. 2023;23(2):543-52.
https://dx.doi.org/10.4314/ahs.v23i2.63