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Predictive Validity of Motor Assessment Scale on Poststroke Discharge Destination
Irene Conradsen1,2, Marius Henriksen1,3,4, Hana Malá Rytter2,5,6
1Department of Physical and Occupational Therapy Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, Denmark.
Rehabilitation Research and Practice
|July 29, 2024
Summary
The Motor Assessment Scale (MAS) effectively predicts discharge destination for stroke patients. Higher MAS scores indicate a greater likelihood of returning home after hospital admission, aiding rehabilitation planning.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Assessment
Background:
- Stroke necessitates hospital admission and rehabilitation for post-stroke sequelae like motor impairments.
- Predicting discharge destination early is crucial for efficient post-hospitalization planning.
- The predictive value of early motor performance assessments for discharge destination after stroke is underexplored.
Purpose of the Study:
- To evaluate the Motor Assessment Scale's (MAS) predictive validity for discharge destination in stroke patients.
- To assess the predictive power of both total MAS scores and specific subscores (transfer-mobility, upper extremity).
Main Methods:
- Prospective cohort study design.
- Logistic regression and Receiver Operating Characteristic (ROC) curve analysis to determine predictive ability.
- Cox regression analysis using identified cut-points.
Main Results:
- Each one-unit increase in total MAS score significantly increased the odds of home discharge (OR 1.14).
- Subscores for transfer-mobility and upper extremity items also showed predictive value.
- A total MAS score of ≥ 24 was associated with a 17-fold increased likelihood of home discharge (HR 17.64).
Conclusions:
- The Motor Assessment Scale (MAS) demonstrates significant predictive validity for discharge destination in stroke patients.
- MAS assessment upon hospital admission can aid in planning post-stroke care and rehabilitation.
- These findings are applicable in the Danish healthcare setting.
