Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study
Abstract Aim To investigate the cognitive function and its relation to the home discharge of patients following subacute stroke. Methods This retrospective cohort study included 1,229 convalescent patients experiencing their first subacute stroke. We determined discharge destination and demographic...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-022-02745-8 |
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| author | Daisuke Ito Michiyuki Kawakami Ryota Ishii Masahiro Tsujikawa Kaoru Honaga Kunitsugu Kondo Tetsuya Tsuji |
| author_facet | Daisuke Ito Michiyuki Kawakami Ryota Ishii Masahiro Tsujikawa Kaoru Honaga Kunitsugu Kondo Tetsuya Tsuji |
| author_sort | Daisuke Ito |
| collection | DOAJ |
| description | Abstract Aim To investigate the cognitive function and its relation to the home discharge of patients following subacute stroke. Methods This retrospective cohort study included 1,229 convalescent patients experiencing their first subacute stroke. We determined discharge destination and demographic and clinical information. We recorded the following measurement scores: Mini-Mental State Examination (MMSE) score, Stroke Impairment Assessment Set score, grip strength, and Functional Independence Measure (FIM). We performed a multivariable logistic regression analysis with the forced-entry method to identify factors related to home discharge. Results Of the 1,229 participants (mean age: 68.7 ± 13.5 years), 501 (40.8%), 735 (59.8%), and 1,011 (82.3%) were female, had cerebral infarction, and were home discharged, respectively. Multivariable logistic regression analysis revealed that age (odds ratio [OR], 0.93; 95% confidence interval [CI], 0.91 – 0.96; P < 0.001), duration from stroke onset to admission (OR, 0.98; 95% CI, 0.96 – 0.99; P = 0.003), living situation (OR, 4.40; 95% CI, 2.69 – 7.20; P < 0.001), MMSE score at admission (OR, 1.05; 95% CI, 1.00 – 1.09; P = 0.035), FIM motor score at admission (OR, 1.04; 95% CI, 1.01 – 1.06; P = 0.001), and FIM cognitive score at admission (OR, 1.08; 95% CI, 1.04 – 1.13; P < 0.001) were significantly associated with home discharge. Conclusions MMSE at admission is significantly associated with home discharge in patients with subacute stroke. |
| first_indexed | 2024-04-13T19:54:42Z |
| format | Article |
| id | doaj.art-8646245b5af549948577545bbffc0b26 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-13T19:54:42Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-8646245b5af549948577545bbffc0b262022-12-22T02:32:22ZengBMCBMC Neurology1471-23772022-06-012211710.1186/s12883-022-02745-8Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort studyDaisuke Ito0Michiyuki Kawakami1Ryota Ishii2Masahiro Tsujikawa3Kaoru Honaga4Kunitsugu Kondo5Tetsuya Tsuji6Department of Rehabilitation Medicine, Keio University School of MedicineDepartment of Rehabilitation Medicine, Keio University School of MedicineDepartment of Biostatistics, Faculty of Medicine, University of TsukubaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation HospitalDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation HospitalDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation HospitalDepartment of Rehabilitation Medicine, Keio University School of MedicineAbstract Aim To investigate the cognitive function and its relation to the home discharge of patients following subacute stroke. Methods This retrospective cohort study included 1,229 convalescent patients experiencing their first subacute stroke. We determined discharge destination and demographic and clinical information. We recorded the following measurement scores: Mini-Mental State Examination (MMSE) score, Stroke Impairment Assessment Set score, grip strength, and Functional Independence Measure (FIM). We performed a multivariable logistic regression analysis with the forced-entry method to identify factors related to home discharge. Results Of the 1,229 participants (mean age: 68.7 ± 13.5 years), 501 (40.8%), 735 (59.8%), and 1,011 (82.3%) were female, had cerebral infarction, and were home discharged, respectively. Multivariable logistic regression analysis revealed that age (odds ratio [OR], 0.93; 95% confidence interval [CI], 0.91 – 0.96; P < 0.001), duration from stroke onset to admission (OR, 0.98; 95% CI, 0.96 – 0.99; P = 0.003), living situation (OR, 4.40; 95% CI, 2.69 – 7.20; P < 0.001), MMSE score at admission (OR, 1.05; 95% CI, 1.00 – 1.09; P = 0.035), FIM motor score at admission (OR, 1.04; 95% CI, 1.01 – 1.06; P = 0.001), and FIM cognitive score at admission (OR, 1.08; 95% CI, 1.04 – 1.13; P < 0.001) were significantly associated with home discharge. Conclusions MMSE at admission is significantly associated with home discharge in patients with subacute stroke.https://doi.org/10.1186/s12883-022-02745-8Cognitive functionCognitive impairmentDischarge destinationRetrospective cohort studyStroke |
| spellingShingle | Daisuke Ito Michiyuki Kawakami Ryota Ishii Masahiro Tsujikawa Kaoru Honaga Kunitsugu Kondo Tetsuya Tsuji Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study BMC Neurology Cognitive function Cognitive impairment Discharge destination Retrospective cohort study Stroke |
| title | Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study |
| title_full | Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study |
| title_fullStr | Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study |
| title_full_unstemmed | Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study |
| title_short | Cognitive function is associated with home discharge in subacute stroke patients: a retrospective cohort study |
| title_sort | cognitive function is associated with home discharge in subacute stroke patients a retrospective cohort study |
| topic | Cognitive function Cognitive impairment Discharge destination Retrospective cohort study Stroke |
| url | https://doi.org/10.1186/s12883-022-02745-8 |
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