Evidence map›Paper›PMID 31973729›Full record

ArticleBMC geriatrics2020

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

Tom P M M Vluggen, Jolanda C M van Haastregt, Frans E S Tan, Gertrudis I J M Kempen, Jos M G A Schols, Jeanine A Verbunt

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Tom P M M VluggenDepartment of Health Services Research, Maastricht University, PO Box 616 6200, MD, Maastricht, The Netherlands. t.vluggen@maastrichtuniversity.nl.
Jolanda C M van HaastregtDepartment of Health Services Research, Maastricht University, PO Box 616 6200, MD, Maastricht, The Netherlands.
Frans E S TanCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Gertrudis I J M KempenDepartment of Health Services Research, Maastricht University, PO Box 616 6200, MD, Maastricht, The Netherlands.
Jos M G A ScholsDepartment of Health Services Research, Maastricht University, PO Box 616 6200, MD, Maastricht, The Netherlands.
Jeanine A VerbuntCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Maastricht University · NL

Funding

ZonMw 313070301
6 · The paper itself

Abstract

backgroundStroke is a highly prevalent disease among older people and can have a major impact on daily functioning and quality of life. When community-dwelling older people are hospitalized due to stroke, discharge to an intermediate care facility for geriatric rehabilitation is indicated when return to the previous living situation is expected but not yet possible. However, a substantial proportion is still unable to return home after discharge and has to be admitted to a residential care setting. This study aims to identify which factors are associated with home discharge after inpatient rehabilitation among frail and multimorbid older stroke patients.

methodsThis study is a longitudinal cohort study among 92 community-dwelling stroke patients aged 65 years or over. All patients were admitted to one of eight participating intermediate care facilities for geriatric rehabilitation, under the expectation to return home after rehabilitation. We examined whether 16 potentially relevant factors (age; sex; 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) measured at admission were associated with discharge to the former living situation. Logistic regression analysis was used for statistical analysis.

resultsMean age of the patients was 79.0 years (SD 6.4) and 51.1% was female. A total of 71 patients (77.1%) were discharged to the former living situation within 6 months after the start of geriatric rehabilitation. Of the 16 factors analysed, only a higher level of independence in activities of daily living at admission was significantly associated with home discharge.

conclusionsOur study shows that the vast majority of previously identified factors predicting home discharge among stroke patients, could not predict home discharge among a group of frail and multimorbid older persons admitted to geriatric rehabilitation. Only a higher level of independence in activities of daily living at admission was significantly related to home discharge. Additional insight in other factors that might predict home discharge after geriatric rehabilitation among this specific group of frail older stroke patients, is needed.

trial registrationISRCTN ISRCTN62286281. Registered 19-3-2010.

Indexed as

Frail ElderlyPatient DischargeStrokeStroke RehabilitationActivities of Daily LivingAgedAged, 80 and overFemaleHumansInpatientsLongitudinal StudiesQuality of LifeCommunityDischarge destinationOlder peoplePredictionRehabilitationStroke

Identifiers

PMID31973729
PMCPMC6979374
OpenAlexW3003220147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.