Brain Neurorehabil.  2020 Mar;13(1):e1. 10.12786/bn.2020.13.e1.

Factors Associated to Returning Home in the First Year after Stroke

Affiliations
  • 1Department of Rehabilitation Medicine, School of Medicine, Pusan National University, Yangsan, Korea. papered@hanmail.net
  • 2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 3Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 4Department of Rehabilitation Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
  • 5Department of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Korea.
  • 6Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea.
  • 7Department of Preventive Medicine, Wonkwang University School of Medicine, Iksan, Korea.
  • 8Department of Rehabilitation Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
  • 9Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Korea.
  • 10Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University, School of Medicine, Jeju, Korea.
  • 11Department of Statistics, Hallym University, Chuncheon, Korea.
  • 12Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yunkim@skku.edu

Abstract

The objective of this study was to investigate factors affecting the return home one year after a stroke. The subjects of this study consisted of patients who participated in a large-scale multi-objective cohort study of initial stage stroke patients who were admitted to 9 representative hospitals in Korea. We analyzed the distribution of the subjects who had experienced stroke a year earlier by distinguishing the group who returned home and the other group that was hospitalized in rehabilitation hospitals. Based on this distribution, we evaluated the demographic, environmental, clinical, and psychological factors that can affect the return home. Overall, there were 464 subjects in the ‘Return home’ group and 99 subjects in the ‘Rehabilitation hospitalization’ group. job status, inconvenient housing structures, residential types, diagnosis, Functional Ambulation Categories, modified Rankin Scale, Korea-Modified Barthel Index, Function Independence Measure, Fugl-Meyer Assessment, Korean version of Mini-Mental State Examination, Korean version of Frenchay Aphasia Screening Test, Psychosocial Well-being Index-Short Form, Geriatric Depression Scale-Short Form, EuroQol-five Dimensional showed a significant difference between the 2 groups one year after the stroke. The factors affecting the return home one year after a stroke include functional status, activities of daily living, cognition, depression, stress, quality of life, job status. It is expected that factors affecting the rehabilitation of patients with stroke can be considered as basic data for establishing rehabilitation goals and treatment plans.

Keyword

Rehabilitation; Stroke; Patient discharge
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