• Tuan-Anh Nguyen, Andrew Page, Arun Aggarwal, and Peter Henke.
• Department of Rehabilitation Medicine, Royal Prince Alfred Hospital, NSW, Australia. tuan-anh.nguyen@sswahs.nsw.gov.au
• Arch Phys Med Rehabil. 2007 Jun 1; 88 (6): 740-4.

ObjectiveTo investigate the effects of immigrant status (via country of birth), marital status, and area-based socioeconomic status (SES) on discharge destination after stroke for those with low admission scores on the FIM instrument.DesignCross-sectional study.SettingInpatient rehabilitation ward at an urban community hospital in Australia.ParticipantsA total of 326 inpatients admitted for rehabilitation poststroke.InterventionMultidisciplinary rehabilitation.Main Outcome MeasureDischarge home versus nursing home.ResultsA total admission FIM score of 75 or lower was associated with a higher probability of nursing home discharge. Married patients with a total FIM admission score of 75 or lower were significantly more likely to be discharged home, after adjusting for immigrant status, type and side of stroke, sex, and age (odds ratio, 6.07; 95% confidence interval, 1.65-22.40; P<.01). This effect was also observed for low motor and cognition components of FIM admission score. The effect of immigrant status did not remain significant after adjusting for marital status. Area-based SES and stroke characteristics did not substantially attenuate the relationship between immigrant status, marital status, and discharge location.ConclusionsMarital status is a significant determinant of discharge destination. Immigrant status and area-based SES were not significant predictors of discharge disposition.

18 keywords...

hide…