Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan. E-mail:
J Rehabil Med. 2020 Sep 28;52(9):jrm00105. doi: 10.2340/16501977-2739.
To identify predictors of admission to post-acute inpatient rehabilitation settings follow-ing acute care for stroke survivors in Taiwan.
Prospective observation study.
Stroke survivors (n = 558) admitted to acute care wards for inpatient rehabilitation (62% male; mean age 60.0 ± 12.2 years).
The primary outcome was whether survivors were admitted to post-acute inpatient rehabilitation settings after discharge from acute care wards. Logistic regression model was adopted to examine the predictors of admission to post-acute inpatient rehabilitation. A receiver operating characteristic curve was drawn to compute the ability of the predictors to discriminate the outcome.
Multivariate analysis results indicated Activity Measure Post-Acute Care "6-Clicks" Basic Mobility score to be the only significant predictor of admission to post-acute inpatient rehabilitation (odds ratio = 0.44, 95% confidence interval: 0.34-0.56). Receiver operating characteristic curve analysis results indicated that the cut-off point for Basic Mobility was 13 (standardized score: 33.99). This yielded a sensitivity value of 0.98 and a specificity value of 0.96 for determining the admission to post-acute inpatient rehabilitation.
Activity Measure Post-Acute Care "6-Clicks" Basic Mobility subscale scores at admission for acute care can predict admission to post-acute inpatient rehabilitation for stroke survivors in Taiwan. This tool can aid clinicians in formulating adequate discharge plans at an early stage, and thus improve the quality of care.
在台湾，识别急性照护后入住急性照护病房的脑卒中幸存者进入后续康复机构的预测因素。
前瞻性观察研究。
脑卒中幸存者（n=558）入住急性照护病房进行住院康复治疗（62%为男性；平均年龄 60.0±12.2 岁）。
主要结局是幸存者从急性照护病房出院后是否被收治到后续康复机构。采用逻辑回归模型来检验进入后续康复机构的预测因素。绘制受试者工作特征曲线来计算预测因素区分结局的能力。
多变量分析结果表明，活动测量急性照护后“6 次点击”基本移动评分是进入后续康复机构的唯一显著预测因素（比值比=0.44，95%置信区间：0.34-0.56）。受试者工作特征曲线分析结果表明，基本移动的截断点为 13（标准化评分：33.99）。这使得确定进入后续康复机构的灵敏度值为 0.98，特异性值为 0.96。
急性照护入院时的活动测量急性照护后“6 次点击”基本移动分量表评分可以预测台湾脑卒中幸存者进入后续康复机构。该工具可以帮助临床医生在早期制定适当的出院计划，从而提高护理质量。
