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Related Concept Videos

Regulation of Stroke Volume01:27

Regulation of Stroke Volume

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The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
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Related Experiment Video

Updated: Mar 26, 2026

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
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Predicting discharge destination after stroke: A systematic review.

Margot Mees1, Jelle Klein1, Laetitia Yperzeele2

  • 1Born Bunge Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, B2610 Wilrijk, Belgium.

Clinical Neurology and Neurosurgery
|January 24, 2016
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Summary

Predicting stroke patient discharge destination is crucial. Functional dependence, neurocognitive issues, and living situation significantly impact whether patients go home after hospitalization.

Keywords:
Discharge courseDischarge locationNursing facilityRehabilitation

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Discharge destination for acute stroke patients significantly impacts recovery and healthcare resource utilization.
  • Existing research identifies various factors influencing discharge disposition, but a consolidated overview is lacking.

Purpose of the Study:

  • To systematically review and synthesize evidence on factors predicting discharge destination for acute stroke patients.
  • To provide an overview of studies examining predictors of post-hospitalization disposition in stroke survivors.

Main Methods:

  • A systematic review methodology was employed.
  • Nineteen relevant articles were selected based on predefined inclusion criteria and research questions.
  • Factors were categorized by significance, including demographics, clinical status, and social determinants.

Main Results:

  • Functional dependence, comorbidities, neurocognitive dysfunction, and prior living circumstances were strongly associated with non-home discharge.
  • Medium to large infarcts correlated with institutionalization, while stroke volume did not predict home discharge.
  • Factors like age, gender, race, and caregiver availability showed controversial or inconsistent associations across studies.

Conclusions:

  • Key predictors for non-home discharge in stroke patients include functional status, cognitive impairment, and social support systems.
  • Further research is needed to clarify the role of other factors and to ensure sufficient study of under-researched variables like education and FIM progression.