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Rehabilitation Practice and Science

Translated Title

以系統性回顧探討住院腦中風病人之出院安置地點

Abstract

Introduction: Complex and diverse factors affect the placement of patients with stroke after they are discharged from hospitals. In this study, a systematic reviewarticle of relevant literature was performed to compile related research data and explore the importance of individuals factors and the overall predictive power of multiple variables. Methods: Electronic resources from PubMed and the Cochrane Library were used along with keywords such as ＂stroke＂ and ＂discharge destination＂ to search for relevant articles published between 2005 and 2018. Only original research articles written in English were selected. Results: A total of 19 articles were selected to compile 10 factors, namely age, sex, living habits, marital status, socioeconomic status, comorbidity, stroke type, cognitive and physiological functioning, medical conditions, and geographical environment. All of the studies supported that patients who were younger, or had better daily functions were more likely to return home following hospital discharge (p ＜ 0.05). Most studies reported that female patients were more likely to be institutionalized after hospital discharge. Nine studies adopted multivariable logistic regression to construct their models, in which age, Functional Independence Measure scores, and the Barthel Index were widely used variables that exhibited significant effects. The predictive power was assessed using the area under the receiver operating characteristic curve, which ranged between 0.68 and 0.89. Conclusions: Discharge destinations for patients with stroke considerably affect their subsequent daily life functioning and care costs. The results of the systematic reviewarticle performed in this study can serve as a reference for medical units to make appropriate decisions. Sufficient discharge preparation and long-term care resources increase the likelihood of patients returning home after hospital discharge, realizing the healthcare goal of aging in place.

Language

Traditional Chinese

First Page

81

Last Page

96

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