Prediction of destination at discharge from a comprehensive rehabilitation hospital using the home care score
[Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The hom...
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| Published in | Journal of Physical Therapy Science Vol. 28; no. 10; pp. 2737 - 2741 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.01.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.28.2737 |
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| Abstract | [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. [Results] The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient’s family, which is assessed by the home care score. |
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| AbstractList | [Purpose] This study investigated whether it is possible to predict return to home at
discharge from a rehabilitation hospital in Japan using the home care score of patients
with cerebrovascular or osteoarticular disease and low activities of daily living at
admission. [Subjects and Methods] The home care score and functional independent
measurement were determined for 226 patients at admission and at discharge from five
hospitals, and receiver operating characteristic analyses were conducted. [Results] The
home care score cutoff point for the prediction of return to home at admission and at
discharge was 11, and the area under the curve was more than 0.8. The area under the curve
of the home care score was 0.77 for patients with low activities of daily living and
within this group, the probability of return to home was approximately 50%, as predicted
by the functional independent measurement. The home care score increased after receiving
intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for
the prediction of return to home from a rehabilitation hospital, although prediction using
the functional independent measurement is difficult for patients with low activities of
daily living. Moreover, comprehensive interventions provided by the rehabilitation
hospitals improve the ability to provide home care of the patient’s family, which is
assessed by the home care score. Purpose: This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. Subjects and Methods: The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. Results: The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. Conclusion: The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient's family, which is assessed by the home care score. [Abstract.] [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. [Results] The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient's family, which is assessed by the home care score. [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. [Results] The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient's family, which is assessed by the home care score.[Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. [Results] The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient's family, which is assessed by the home care score. [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care score of patients with cerebrovascular or osteoarticular disease and low activities of daily living at admission. [Subjects and Methods] The home care score and functional independent measurement were determined for 226 patients at admission and at discharge from five hospitals, and receiver operating characteristic analyses were conducted. [Results] The home care score cutoff point for the prediction of return to home at admission and at discharge was 11, and the area under the curve was more than 0.8. The area under the curve of the home care score was 0.77 for patients with low activities of daily living and within this group, the probability of return to home was approximately 50%, as predicted by the functional independent measurement. The home care score increased after receiving intervention at a rehabilitation hospital. [Conclusion] The home care score is useful for the prediction of return to home from a rehabilitation hospital, although prediction using the functional independent measurement is difficult for patients with low activities of daily living. Moreover, comprehensive interventions provided by the rehabilitation hospitals improve the ability to provide home care of the patient’s family, which is assessed by the home care score. |
| Author | Nagano, Kiyoshi Mori, Nobuhiko Murakami, Yoshikazu Matsugi, Akiyoshi Nomura, Shohei Tamaru, Yoshiki Yoshioka, Nami Oku, Kosuke Tani, Keisuke Yamashita, Akira |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27821925$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_3390_healthcare10081577 crossref_primary_10_15563_jalliedhealthsci_7_30 crossref_primary_10_2185_jrm_2023_033 |
| Cites_doi | 10.1155/2015/501042 10.1097/00002060-200011000-00007 10.1186/1743-0003-4-3 10.1016/j.jstrokecerebrovasdis.2009.11.020 10.1002/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3 10.1016/j.jstrokecerebrovasdis.2004.10.001 10.1589/jpts.23.673 10.1080/16501970600731420 10.1097/00002060-200109000-00003 10.1191/0269215505cr876oa 10.1589/jpts.26.1429 10.1136/jnnp.48.1.1 10.1016/j.apmr.2007.03.011 10.1136/bmj.321.7268.1051 10.3233/NRE-2008-23507 10.1007/s00134-003-1761-8 |
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| Keywords | Home care score Returning home Comprehensive rehabilitation |
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| References | 2) Matsugi A, Tani K, Tamaru Y, et al.: Prediction of advisability of returning home using the home care score. Rehabil Res Pract, 2015, 2015: 501042. 8) Henley S, Pettit S, Todd-Pokropek A, et al.: Who goes home? Predictive factors in stroke recovery. J Neurol Neurosurg Psychiatry, 1985, 48: 1–6. 3) Matsugi A, Tani K, Mitani Y, et al.: Revision of the predictive method improves precision in the prediction of stroke outcomes for patients admitted to rehabilitation hospitals. J Phys Ther Sci, 2014, 26: 1429–1431. 4) Elliott TR, Pezent GD: Family caregivers of older persons in rehabilitation. NeuroRehabilitation, 2008, 23: 439–446. 7) Koyama T, Sako Y, Konta M, et al.: Poststroke discharge destination: functional independence and sociodemographic factors in urban Japan. J Stroke Cerebrovasc Dis, 2011, 20: 202–207. 12) Inouye M: Predicting outcomes of patients in Japan after first acute stroke using a simple model. Am J Phys Med Rehabil, 2001, 80: 645–649. 1) Miyamori T, Okajima S: Validity of a home care score system to assess the potential for successful care of patients after discharge from hospital. Jpn J Prim Care, 1992, 15: 58–64. 5) Colombo R, Pisano F, Mazzone A, et al.: Design strategies to improve patient motivation during robot-aided rehabilitation. J Neuroeng Rehabil, 2007, 4: 3. 9) Nguyen TA, Page A, Aggarwal A, et al.: Social determinants of discharge destination for patients after stroke with low admission FIM instrument scores. Arch Phys Med Rehabil, 2007, 88: 740–744. 6) Maclean N, Pound P, Wolfe C, et al.: Qualitative analysis of stroke patients’ motivation for rehabilitation. BMJ, 2000, 321: 1051–1054. 10) Sakurai H, Tsujimura T, Sugiura Y: Determinants of return to home after stroke: an analysis based on FIM scores. J Phys Ther Sci, 2011, 23: 673–677. 13) Sonoda S, Saitoh E, Nagai S, et al.: Stroke outcome prediction using reciprocal number of initial activities of daily living status. J Stroke Cerebrovasc Dis, 2005, 14: 8–11. 11) Inouye M, Kishi K, Ikeda Y, et al.: Prediction of functional outcome after stroke rehabilitation. Am J Phys Med Rehabil, 2000, 79: 513–518. 14) Koyama T, Matsumoto K, Okuno T, et al.: A new method for predicting functional recovery of stroke patients with hemiplegia: logarithmic modelling. Clin Rehabil, 2005, 19: 779–789. 17) Fischer JE, Bachmann LM, Jaeschke R: A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med, 2003, 29: 1043–1051. 16) Youden WJ: Index for rating diagnostic tests. Cancer, 1950, 3: 32–35. 15) Koyama T, Matsumoto K, Okuno T, et al.: Relationships between independence level of single motor-FIM items and FIM-motor scores in patients with hemiplegia after stroke: an ordinal logistic modelling study. J Rehabil Med, 2006, 38: 280–286. 11 12 13 14 15 16 17 (4) 2008; 23 1 2 3 5 6 7 8 9 10 17309790 - J Neuroeng Rehabil. 2007 Feb 19;4:3 11053175 - BMJ. 2000 Oct 28;321(7268):1051-4 15405679 - Cancer. 1950 Jan;3(1):32-5 25276029 - J Phys Ther Sci. 2014 Sep;26(9):1429-31 26491568 - Rehabil Res Pract. 2015;2015:501042 20621511 - J Stroke Cerebrovasc Dis. 2011 May-Jun;20(3):202-7 16931457 - J Rehabil Med. 2006 Sep;38(5):280-6 3973617 - J Neurol Neurosurg Psychiatry. 1985 Jan;48(1):1-6 11523966 - Am J Phys Med Rehabil. 2001 Sep;80(9):645-9 17532895 - Arch Phys Med Rehabil. 2007 Jun;88(6):740-4 17903990 - J Stroke Cerebrovasc Dis. 2005 Jan-Feb;14(1):8-11 12734652 - Intensive Care Med. 2003 Jul;29(7):1043-51 16250198 - Clin Rehabil. 2005 Oct;19(7):779-89 11083301 - Am J Phys Med Rehabil. 2000 Nov-Dec;79(6):513-8 18957730 - NeuroRehabilitation. 2008;23(5):439-46 |
| References_xml | – reference: 4) Elliott TR, Pezent GD: Family caregivers of older persons in rehabilitation. NeuroRehabilitation, 2008, 23: 439–446. – reference: 10) Sakurai H, Tsujimura T, Sugiura Y: Determinants of return to home after stroke: an analysis based on FIM scores. J Phys Ther Sci, 2011, 23: 673–677. – reference: 2) Matsugi A, Tani K, Tamaru Y, et al.: Prediction of advisability of returning home using the home care score. Rehabil Res Pract, 2015, 2015: 501042. – reference: 8) Henley S, Pettit S, Todd-Pokropek A, et al.: Who goes home? Predictive factors in stroke recovery. J Neurol Neurosurg Psychiatry, 1985, 48: 1–6. – reference: 17) Fischer JE, Bachmann LM, Jaeschke R: A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med, 2003, 29: 1043–1051. – reference: 14) Koyama T, Matsumoto K, Okuno T, et al.: A new method for predicting functional recovery of stroke patients with hemiplegia: logarithmic modelling. Clin Rehabil, 2005, 19: 779–789. – reference: 5) Colombo R, Pisano F, Mazzone A, et al.: Design strategies to improve patient motivation during robot-aided rehabilitation. J Neuroeng Rehabil, 2007, 4: 3. – reference: 1) Miyamori T, Okajima S: Validity of a home care score system to assess the potential for successful care of patients after discharge from hospital. Jpn J Prim Care, 1992, 15: 58–64. – reference: 7) Koyama T, Sako Y, Konta M, et al.: Poststroke discharge destination: functional independence and sociodemographic factors in urban Japan. J Stroke Cerebrovasc Dis, 2011, 20: 202–207. – reference: 13) Sonoda S, Saitoh E, Nagai S, et al.: Stroke outcome prediction using reciprocal number of initial activities of daily living status. J Stroke Cerebrovasc Dis, 2005, 14: 8–11. – reference: 11) Inouye M, Kishi K, Ikeda Y, et al.: Prediction of functional outcome after stroke rehabilitation. Am J Phys Med Rehabil, 2000, 79: 513–518. – reference: 6) Maclean N, Pound P, Wolfe C, et al.: Qualitative analysis of stroke patients’ motivation for rehabilitation. BMJ, 2000, 321: 1051–1054. – reference: 15) Koyama T, Matsumoto K, Okuno T, et al.: Relationships between independence level of single motor-FIM items and FIM-motor scores in patients with hemiplegia after stroke: an ordinal logistic modelling study. J Rehabil Med, 2006, 38: 280–286. – reference: 12) Inouye M: Predicting outcomes of patients in Japan after first acute stroke using a simple model. Am J Phys Med Rehabil, 2001, 80: 645–649. – reference: 16) Youden WJ: Index for rating diagnostic tests. Cancer, 1950, 3: 32–35. – reference: 9) Nguyen TA, Page A, Aggarwal A, et al.: Social determinants of discharge destination for patients after stroke with low admission FIM instrument scores. Arch Phys Med Rehabil, 2007, 88: 740–744. – reference: 3) Matsugi A, Tani K, Mitani Y, et al.: Revision of the predictive method improves precision in the prediction of stroke outcomes for patients admitted to rehabilitation hospitals. J Phys Ther Sci, 2014, 26: 1429–1431. – ident: 2 doi: 10.1155/2015/501042 – ident: 11 doi: 10.1097/00002060-200011000-00007 – ident: 5 doi: 10.1186/1743-0003-4-3 – ident: 7 doi: 10.1016/j.jstrokecerebrovasdis.2009.11.020 – ident: 16 doi: 10.1002/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3 – ident: 1 – ident: 13 doi: 10.1016/j.jstrokecerebrovasdis.2004.10.001 – ident: 10 doi: 10.1589/jpts.23.673 – ident: 15 doi: 10.1080/16501970600731420 – ident: 12 doi: 10.1097/00002060-200109000-00003 – ident: 14 doi: 10.1191/0269215505cr876oa – ident: 3 doi: 10.1589/jpts.26.1429 – ident: 8 doi: 10.1136/jnnp.48.1.1 – ident: 9 doi: 10.1016/j.apmr.2007.03.011 – ident: 6 doi: 10.1136/bmj.321.7268.1051 – volume: 23 start-page: 439 issn: 1053-8135 year: 2008 ident: 4 publication-title: Neurorehabilitation doi: 10.3233/NRE-2008-23507 – ident: 17 doi: 10.1007/s00134-003-1761-8 – reference: 11523966 - Am J Phys Med Rehabil. 2001 Sep;80(9):645-9 – reference: 16250198 - Clin Rehabil. 2005 Oct;19(7):779-89 – reference: 17309790 - J Neuroeng Rehabil. 2007 Feb 19;4:3 – reference: 17532895 - Arch Phys Med Rehabil. 2007 Jun;88(6):740-4 – reference: 11053175 - BMJ. 2000 Oct 28;321(7268):1051-4 – reference: 11083301 - Am J Phys Med Rehabil. 2000 Nov-Dec;79(6):513-8 – reference: 25276029 - J Phys Ther Sci. 2014 Sep;26(9):1429-31 – reference: 17903990 - J Stroke Cerebrovasc Dis. 2005 Jan-Feb;14(1):8-11 – reference: 18957730 - NeuroRehabilitation. 2008;23(5):439-46 – reference: 3973617 - J Neurol Neurosurg Psychiatry. 1985 Jan;48(1):1-6 – reference: 15405679 - Cancer. 1950 Jan;3(1):32-5 – reference: 26491568 - Rehabil Res Pract. 2015;2015:501042 – reference: 16931457 - J Rehabil Med. 2006 Sep;38(5):280-6 – reference: 20621511 - J Stroke Cerebrovasc Dis. 2011 May-Jun;20(3):202-7 – reference: 12734652 - Intensive Care Med. 2003 Jul;29(7):1043-51 |
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| Snippet | [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care... [Abstract.] [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the... Purpose: This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care... [Purpose] This study investigated whether it is possible to predict return to home at discharge from a rehabilitation hospital in Japan using the home care... |
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| SubjectTerms | Comprehensive rehabilitation Home care score Original Returning home |
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| Title | Prediction of destination at discharge from a comprehensive rehabilitation hospital using the home care score |
| URI | https://www.jstage.jst.go.jp/article/jpts/28/10/28_jpts-2016-423/_article/-char/en http://mol.medicalonline.jp/en/journal/download?GoodsID=ca8jjpts/2016/002810/010&name=2737-2741e https://www.ncbi.nlm.nih.gov/pubmed/27821925 https://www.proquest.com/docview/1837290480 https://www.proquest.com/docview/1850791513 https://pubmed.ncbi.nlm.nih.gov/PMC5088116 https://www.jstage.jst.go.jp/article/jpts/28/10/28_jpts-2016-423/_pdf |
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| ispartofPNX | Journal of Physical Therapy Science, 2016, Vol.28(10), pp.2737-2741 |
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