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Postadmission Function Best Predicts Acute Hospital Outcomes After Stroke

Bohannon, Richard W., EdD, PT, NCS; Lee, Nora, MD; Maljanian, Rose, RN, MBA

American Journal of Physical Medicine & Rehabilitation: October 2002 - Volume 81 - Issue 10 - p 726-730
Research Articles: Stroke Outcomes

Bohannon RW, Lee N, Maljanian R: Postadmission function best predicts acute hospital outcomes after stroke. Am J Phys Med Rehabil 2002;81:726–730.

Objective This study was conducted to determine the relative value of selected variables for predicting three acute hospital outcomes (length of stay, charges, discharge destination) after stroke.

Design Data were obtained prospectively from 92 patients admitted with ischemic stroke to an acute care hospital. The relationship between five independent variables (age, sex, National Institutes of Health Stroke Scale [NIHSS] scores, prestroke Barthel Index scores, and postadmission Barthel Index scores) and the three outcome variables (hospital length of stay, hospital charges, and hospital discharge destination) were examined.

Results Significant bivariate correlations were found between two predictors (NIHSS scores and Barthel Index scores) and all three outcome variables. Regression analysis showed that once postadmission Barthel Index scores were accounted for, no other variable added to the prediction of hospital length of stay or discharge destination. The NIHSS score added to the explanation of hospital charges provided by postadmission Barthel Index scores.

Conclusions Postadmission Barthel Index scores were the best predictor of the three outcomes measured in this study.

From the Institute of Outcomes Research and Evaluation (RWB, RM) and the Department of Neurology (NL), Hartford Hospital, Hartford, Connecticut, and the Department of Physical Therapy, School of Allied Health, University of Connecticut, Storrs, Connecticut (RWB).

FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

All correspondence and requests for reprints should be addressed to the Richard W Bohannon, EdD, PT, NCS, Institute of Outcomes Research and Evaluation, Hartford Hospital, 80 Seymour Street, P.O. Box 5037, Hartford, CT 06102-5037.

© 2002 Lippincott Williams & Wilkins, Inc.