te Selle H
Tijdschr Gerontol Geriatr. 1987 Apr;18(2):73-6.
About 20% of the survivors from acute stroke are relocated from a general hospital to a rehabilitation centre or to a nursing and reactivation home. This occurs about one or two months after the stroke. At that point in time the most important period for spontaneous recovery has already passed. In 1981 a recent stroke was the somatic reason for admission in 21.4% of all patients in nursing-homes. In comparison to rehabilitation centres more elderly stroke patients with many other disorders are admitted to nursing-homes. It is also shown that the more disabled stroke patients are admitted to nursing-homes, but this appears to be influenced by the presence of a rehabilitation centre in the area. Urinary incontinence, a 'psychosyndrome', a relapse of stroke, a healthy partner and, to a lesser degree, aphasia determine the perspectives for discharge, besides functional recovery. But also the care setting and the facilities of a day hospital in a nursing-home are important factors that will influence the prognosis for discharge.
约20%的急性中风幸存者会从综合医院转至康复中心或护理与康复之家。这种情况通常发生在中风后的一两个月。此时，自发恢复的最重要时期已经过去。1981年，近期中风是疗养院所有患者中21.4%的患者入院的躯体原因。与康复中心相比，更多患有多种其他疾病的老年中风患者被收治到疗养院。研究还表明，残疾程度较重的中风患者会被收治到疗养院，但这似乎受到该地区是否存在康复中心的影响。除功能恢复外，尿失禁、“精神综合征”、中风复发、配偶健康状况以及程度较轻的失语症决定了出院前景。但疗养院日间医院的护理环境和设施也是影响出院预后的重要因素。
