Ontology highlight
ABSTRACT: Objective
To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke.Design
Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation.Setting
Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area.Participants
1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397).Intervention
None.Main outcome measure
Community discharge from IRF.Results
82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively).Conclusion
Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients' IRF discharge.
SUBMITTER: Bosch PR
PROVIDER: S-EPMC10036223 | biostudies-literature | 2023 Mar
REPOSITORIES: biostudies-literature

Bosch Pamela R PR Barr Dawn D Roy Indrakshi I Fabricant Maximillian M Mann Audrey A Mangone Elizabeth E Karmarkar Amol A Kumar Amit A
Archives of rehabilitation research and clinical translation 20221217 1
<h4>Objective</h4>To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke.<h4>Design</h4>Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation.<h4>Setting</h4>Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area.<h4>Participants</h4>1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) ...[more]