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RC Circuits: Discharging A Capacitor01:27

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Updated: Jan 29, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Discharge Destination from a Rehabilitation Unit After Acute Ischemic Stroke.

Amalie Saab1, Shiona Glass-Kaastra2, Gordon Bryan Young3

  • 1Western University,London, Ontario,Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|February 12, 2019
PubMed
Summary

Predictors for discharge destination in ischemic stroke patients were identified. Advanced age, bowel incontinence, and lack of a caregiver were key factors associated with discharge to long-term care (LTC) instead of home.

Keywords:
StrokeStroke rehabilitation

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Ischemic stroke is a leading cause of long-term disability.
  • Discharge destination after stroke rehabilitation significantly impacts patient outcomes and healthcare resource utilization.
  • Identifying predictors of discharge destination is crucial for optimizing patient care and resource allocation.

Purpose of the Study:

  • To identify variables statistically associated with discharge destination (home vs. long-term care) in ischemic stroke patients undergoing rehabilitation.
  • To determine key factors influencing the transition from inpatient stroke rehabilitation to home or long-term care settings.

Main Methods:

  • Retrospective chart review of ischemic stroke patients discharged from a rehabilitation unit (2005-2015).
  • Analysis of numerous variables for association with discharge destination (home vs. long-term care [LTC]).
  • Application of univariable and multivariable logistic regression models to identify significant predictors.

Main Results:

  • Univariate analysis revealed multiple predictors for LTC discharge, including advanced age, functional status decline, incontinence, caregiver absence, and cognitive impairment.
  • Multivariable logistic regression identified five significant predictors for LTC disposition: advanced age, bowel incontinence, pre-stroke residence outside the home, right hemisphere stroke, and absence of a caregiver.
  • Functional Independence Measure (FIM) scores and cognitive assessments (Montreal Cognitive Assessment) were also associated with discharge destination.

Conclusions:

  • Easily measurable variables significantly predict discharge to long-term care versus home after stroke rehabilitation.
  • These findings can aid clinicians in predicting discharge disposition and tailoring interventions for stroke survivors.
  • Understanding these predictors can inform discharge planning and support strategies for patients and caregivers.