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PREDICTORS OF DEPENDENCY AFTER STROKE: A PROPOSAL OF IMPROVING THE DISCHARGE PLANNING COORDINATION BETWEEN HEALTH AND SOCIAL CARE

出版	Morressier, 2017
URL	http://books.google.com.hk/books?id=DHO7zQEACAAJ&hl=&source=gbs_api

註釋Background and Aims: After a stroke families require the coordinated assistance of health and social care. There is a lack of comprehensive evaluation and assessment tools to identify discharge needs and there is separate management of the health and social resources, and access to these services is variable between regions.Materials and Methods: This was a 2-year prospective and community study of a stroke cohort. The primary outcome was recognized dependency. The potential predictors were considered in a multivariate regression, and receiver operating characteristic (ROC) curves were used to predict dependency.Results: Overall, 233 patients were included, 49.8% of whom were women. The total rate of dependency was 31.5 (95% CI 26.1-37.7) cases/100 person-year, but 30.4% became dependent prior to the stroke. The independent factors associated with dependency outcome were: age >80 years (HR 2.03, 95% CI 1.32u20133.12, p=0.001), Pfeiffer score u22654 (HR 1.82, 95% CI 1.25u20131.2.66, p=0.002), Barthel score