Prediction of discharge destination after stroke using the motor assessment scale on admission: a prospective, multisite study.

Brauer, S. G., Bew, P. G., Kuys, S., Lynch, M. R. and Morrison, Greg (2008) Prediction of discharge destination after stroke using the motor assessment scale on admission: a prospective, multisite study.. Archives of Physical Medicine and Rehabilitation, 89 6: 1061-1065. doi:10.1016/j.apmr.2007.10.042


Author Brauer, S. G.
Bew, P. G.
Kuys, S.
Lynch, M. R.
Morrison, Greg
Title Prediction of discharge destination after stroke using the motor assessment scale on admission: a prospective, multisite study.
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.apmr.2007.10.042
Open Access Status Not yet assessed
Volume 89
Issue 6
Start page 1061
End page 1065
Total pages 5
Editor Basford, J. R.
Place of publication United States
Publisher W.B. Saunders Co.
Language eng
Subject C1
920201 Allied Health Therapies (excl. Mental Health Services)
920103 Cardiovascular System and Diseases
110317 Physiotherapy
110201 Cardiology (incl. Cardiovascular Diseases)
Abstract Brauer SG, Bew PG, Kuys SS, Lynch MR, Morrison G. Prediction of discharge destination after stroke using the Motor Assessment Scale on admission: a prospective, multisite study. Objective: To determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation. Design: Cohort study. Setting: Inpatient rehabilitation units. Participants: Adults (N=566) diagnosed with stroke undergoing inpatient physiotherapy at one of 15 units in Australia. Intervention: Multidisciplinary rehabilitation. Main Outcome Measure: Discharge home versus residential aged care. Results: Prestroke residential status, gait ability measured with the MAS (MAS-5), rolling ability (MAS-1), and age were able to correctly predict 99% of patients with stroke discharged home and 33.3% discharged to residential aged care facilities, producing an accuracy of 87.3%. Odds ratios indicate that for every 1-point increase in MAS-5 (gait), subjects were 1.66 times more likely to go home (95% confidence interval [CI], 1.28-2.27; P<.001). Similarly, for every 1-point increase in MAS-1 (rolling), subjects were 1.28 times more likely to go home (95% CI, 1.11-1.49; P<.01). Conclusions: Two items of the MAS assessed on admission to rehabilitation-gait and rolling-in conjunction with basic demographic information of age and prestroke residential status, were highly predictive of discharge from rehabilitation to home.
Keyword Rehabilitation
Sport Sciences
Rehabilitation
Sport Sciences
REHABILITATION, SCI
SPORT SCIENCES
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Mon, 06 Apr 2009, 20:56:02 EST by Meredith Downes on behalf of School of Health & Rehabilitation Sciences