Show simple item record

dc.contributor.authorLynch, E
dc.contributor.authorLabberton, A
dc.contributor.authorKim, J
dc.contributor.authorKilkenny, M
dc.contributor.authorAndrew, N
dc.contributor.authorLannin, N
dc.contributor.authorGrimley, R
dc.contributor.authorFaux, S
dc.contributor.authorCadilhac, D
dc.date.accessioned2021-04-12T23:48:36Z
dc.date.available2021-04-12T23:48:36Z
dc.date.issued2020
dc.identifier.issn1747-4930
dc.identifier.urihttp://hdl.handle.net/10072/403652
dc.description.abstractBackground And Aims Little is known about long-term outcomes associated with access to inpatient rehabilitation after stroke. Aim: to compare long-term outcomes for patients discharged directly home with those discharged to inpatient rehabilitation after stroke. Methods Data collected in the Australian Stroke Clinical Registry (2010–2013) were linked to hospital admission records and the national death index as part of the Stroke123 study. Multilevel multivariable regression analyses were conducted, adjusting for patient and hospital factors. Outcomes were death and hospital readmissions up to 365-days and health-related quality of life (HRQoL) at 90–180days. Results 7,847 patients were included (median age 71 years, 59% male, 83% ischemic stroke); 4405 (56%) were discharged home and 3,442 (44%) to inpatient rehabilitation. Patients discharged directly home were more likely to be aged under 65 years and to walk independently at hospital admission. Patients discharged to inpatient rehabilitation had more comorbidities and greater odds of having dementia. Hazard of death was not significantly different between the two groups. Patients discharged directly home were more likely to be readmitted to hospital than patients discharged to inpatient rehabilitation (adjusted subhazard ratio [aSHR]:90-days 0.54, 95%CI 0.49, 0.61; aSHR:180-days 0.74, 95%CI 0.67, 0.82; aSHR:365-days 0.85, 95%CI 0.78, 0.93). Patients discharged directly home had higher HRQoL scores, but were more likely to report mobility problems (adjusted OR 0.54, 95%CI 0.47, 0.63). Conclusions Patients discharged directly home have higher risks of readmission and self-reported mobility problems than patients discharged to inpatient rehabilitation. To reduce this disadvantage, better support is indicated for people who are discharged directly home after stroke.
dc.languageEnglish
dc.publisherSage Publications Ltd
dc.publisher.urihttps://journals.sagepub.com/doi/full/10.1177/1747493020963387
dc.relation.ispartofconferencenameESO-WSO 2020 Joint Meeting
dc.relation.ispartofconferencetitleInternational Journal of Stroke
dc.relation.ispartofdatefrom2020-11-07
dc.relation.ispartofdateto2020-11-09
dc.relation.ispartoflocationHelsinki, Finland
dc.relation.ispartofpagefrom14
dc.relation.ispartofpageto14
dc.relation.ispartofissue1_suppl
dc.relation.ispartofvolume15
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3209
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsClinical Neurology
dc.subject.keywordsPeripheral Vascular Disease
dc.subject.keywordsNeurology
dc.titleLong-term outcomes associated with discharge destination after acute stroke in australia: are patients discharged directly home at a disadvantage?
dc.typeConference output
dc.type.descriptionE3 - Conferences (Extract Paper)
dcterms.bibliographicCitationLynch, E; Labberton, A; Kim, J; Kilkenny, M; Andrew, N; Lannin, N; Grimley, R; Faux, S; Cadilhac, D, Long-term outcomes associated with discharge destination after acute stroke in australia: are patients discharged directly home at a disadvantage?, International Journal of Stroke, 2020, 15 (1_suppl), pp. 14-14
dc.date.updated2021-04-12T04:46:50Z
gro.hasfulltextNo Full Text
gro.griffith.authorGrimley, Rohan


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Conference outputs
    Contains papers delivered by Griffith authors at national and international conferences.

Show simple item record