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[Hemiplegia and return to domicile].
S Petrilli1, A Durufle, B Nicolas
1Médecine physique et réadaptation, CHU Pontchaillou, rue Le Guilloux, 35033 cedex, Rennes, France.
Summary
Stroke patients often return home, but factors like age, delayed rehabilitation, and incontinence predict institutionalization. Familial support and functional independence are key for successful home recovery after stroke.
Area of Science:
- Physical Medicine and Rehabilitation
- Neurology
- Geriatrics
Background:
- Stroke is a leading cause of long-term disability, often resulting in hemiplegia.
- Discharge planning from rehabilitation is crucial for patient outcomes.
- Understanding factors influencing discharge destination is vital for effective care.
Purpose of the Study:
- To investigate discharge outcomes for hemiplegic stroke patients from physical medicine and rehabilitation.
- To identify factors influencing the choice between returning home or institutionalization.
Main Methods:
- Prospective study of 93 hemiplegic stroke patients.
- Data collected on patient demographics, stroke characteristics, rehabilitation status, and discharge destination.
- Statistical analysis included Mann-Whitney, chi-squared, and correlation tests.
Main Results:
- 87% of patients returned to their previous domicile; 12% were discharged to an institution.
- Predictive factors for not returning home included older age, social situation, delayed rehabilitation, aphasia, poor functional status (initial and final), inability to walk, depression, and urinary incontinence.
- One patient died during the study period.
Conclusions:
- Familial environment significantly impacts the prognosis for returning to the domicile.
- Functional independence is a critical factor in determining successful home recovery post-stroke.