• Haruhiko Kusumi, Yosuke Kimura, Yuhei Otobe, Mizue Suzuki, Shu Tanaka, Seiya Yamamoto, Iwao Kojima, Yusuke Terao, Toru Nishigori, and Minoru Yamada.
• Department of Rehabilitation Medicine, Tsudanuma Central General Hospital, Narashino-shi, Chiba, Japan; Graduate School of Comprehensive Human Sciences, University of Tsukuba, Bunkyo-ku, Tokyo, Japan. Electronic address: kusumi_haru1020@yahoo.co.jp.
• World Neurosurg. 2024 Aug 1; 188: e591e596e591-e596.

BackgroundSocial inactivity after a stroke leads to adverse outcomes, making social activity after discharge important for chronic stroke survivors. This study aimed to investigate the effects of early rehabilitation services after discharge on social activity among chronic stroke survivors.MethodsThe participants were prospectively recruited from 3 convalescent hospitals. Receipt of early rehabilitation services after discharge for chronic stroke survivors was defined as the utilization of day care or home-based rehabilitation services by the Japanese long-term care insurance system. Social activity was assessed using the Frenchay Activities Index (FAI) premorbid and at 3, 6, and 12 months after discharge. In this study, the outcome was defined as the change in the FAI score from 3 to 12 months after discharge. Multivariate regression analysis was performed to examine the effect of access to rehabilitation on changes in FAI.ResultsNinety stroke survivors (age 67.2±11.6 years, 52 male) were enrolled. The FAI showed improvements by 27.4% and 1.4% from 3 to 12 months after discharge in the rehabilitation and nonrehabilitation groups, respectively. Multivariate regression analysis showed that access to rehabilitation after discharge was positively associated with the FAI change from 3 to 12 months after discharge (B=30.3, β=0.38, 95% confidence interval=11.13-49.47, P=0.002).ConclusionsEarly rehabilitation services after discharge were significantly associated with increased social activity.Copyright © 2024 Elsevier Inc. All rights reserved.

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