Determinants of Discharge Destinations of Cerebrovascular Disease Patients in a Convalescent Rehabilitation Ward: Analysis using ADL Assessment Scale

VernacularTitle:回復期リハビリテーション病棟における脳血管疾患患者の退院先を決定する要因
Author: Miho Ohmori ; Yoko Emori ; Kikue Hidaka
Publication Type:Journal Article
Keywords: Convalescent Rehabilitation Ward; Discharge destination; Activities of daily living (ADL); ADL assessment scale; Cerebrovascular disease
From:An Official Journal of the Japan Primary Care Association 2010;33(3):246-255
CountryJapan
Language:Japanese
Abstract: Purposes
The purposes of this study were to analyze the relationship between the discharge destinations of patients with cerebrovascular diseases (CVD) in our convalescent rehabilitation ward and their levels of activities of daily living (ADL), and also to consider the factors causing those patients difficulties upon discharge.
Methods
The subjects were 114 CVD patients in our Convalescent Rehabilitation Ward.
The investigation was conducted to examine their ADL score, both at hospitalization and at discharge, and to analyze the relationship between changes in their ADL scores and their discharge destinations.
Discussion
It was suggested that reduction of the ADL score from above 8 points at hospitalization, to less than 4 at discharge, contributed to improvement of the rate of discharge to the patients' own homes, and that four items in the ADL assessment scale, such as ‘transfer’, ‘ability to communicate’, ‘locomotion’ and ‘oral care’, had an effect on their discharge destinations.