Association between Number of Daughters and Failure of Home Discharge of Stroke Patients after Post-acute Inpatient Rehabilitation

Autor: Shiau-Fu Hsieh, 謝曉芙
Rok vydání: 2014
Druh dokumentu: 學位論文 ; thesis
Popis: 102
Background: Discharge disposition has been important for stroke patients after post-acute inpatient rehabilitation. The rate of failure of home discharge in Taiwan was still unknown. In addition, whether the number of daughters affected patients’ home discharge needs investigation. Methods: We conducted a retrospective case-control study in a tertiary hospital between July 2011 and Sep 2013, investigating stroke patients consecutively discharged from post-acute rehabilitation. Factors regarding patient demographics, family information, as well as disease and function information were collected. We defined the outcome, failure of home discharge or home discharge, from the discharge chart. Results: One hundred and eighteen of 297 stroke patients (mean age 63 years, 37% women) failed to discharge to home after post-acute inpatient rehabilitation, including 109 admitting to other rehabilitation hospitals and 9 to long-term care facilities. Patients with more daughters tended to be older, female, married, to have ischemic stroke, to receive fewer years of formal education, to have no job, to have homes without stairs, and to have more sons and children. A trend existed between having more daughters and a lower risk of failure of home discharge: having three or more daughters reduced 77 percent of the risk (odds ratio [OR] 0.23, 95% confidence interval [CI] 0.07-0.72), compared with those without daughters (test for trend, p=0.002). Other protective factors included a higher age (OR 0.97, 95%CI 0.95-0.99) and a better function at discharge (OR 0.97, 95%CI 0.95-0.98). Conclusion: The rate of failure of home discharge after post-acute inpatient rehabilitation was high in Taiwan and having more daughters lowered the risk.
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