A Comparative Study of Patient Discharge Disposition in a Convalescent Rehabilitation Unit —An Analysis of Cerebrovascular Disorder and Disuse Syndrome Cases—

Abstract

To assess the factors affecting home return after convalescent rehabilitation, we retrospectively compared such items between the patients returning homesubgroupand those requiring long-term institutionalizationsubgroupas follows : the patient's ADL level before admission and the their living environment, the serial changes in their ADL after admission, the duration of acute care, and the length of stay. Subjects comprised 32 patients with cerebrovascular disorderCVDand 22 with disuse syndromeDSand each of these two groups was divided into subgroupand n19 and 13 in the CVD group, 11 and 11 in the DS group, respectively. In the CVD group, the mean age of subgroupwas significantly lower than that of subgroup 65.414.0 and 80.310.9, respectively . The FIM scorestotal, motor, cognitionin subgroupwere significantly higher than those in subgroup, both at the time of admission and discharge. In the FIM motor items, the scores for mobility and locomotion significantly improved at discharge. In the DS group, there was no difference in the ages between the subgroups80.511.0 and 81.511.2, respectively. Subgrouphad more family members and showed a significant increase in their scores for self-care and mobility after admission. In conclusion, home return appears most related to improvement in motor ADL, and this improvement was further influenced by age and cognitive function in the CVD group and by the number of family members in the DS group.Jpn J Rehabil Med 2008236 241