What factors have been reported to influence ADL at discharge in stroke patients undergoing rehabili

Introduction

Activities of Daily Living (ADL) are crucial indicators of functional independence in stroke patients. Understanding the factors that influence ADL at discharge can help optimize rehabilitation strategies and improve patient outcomes.

Key Insights

Orientation and Cognitive Function:
- Lowered orientation at the time of acute stroke negatively impacts ADL at discharge and continues to affect ADL and social functions up to six months post-stroke.
- Executive functioning and depression are strong predictors of ADL outcomes at multiple timepoints post-discharge.
Physical and Functional Status:
- Initial functional status, including performance on the Functional Independence Measure (FIM) and specific ADL tasks like grooming and upper body dressing, are significant predictors of ADL outcomes.
- Trunk control and muscle strength on the non-hemiplegic side are important predictors of ADL at discharge in patients with severe hemiplegia.
Demographic and Clinical Factors:
- Age, gender, and the severity of neurological impairment at admission are significant predictors of ADL outcomes .
- The presence of multiple vascular risk factors and post-stroke depression are associated with a higher risk of ADL deterioration.
Rehabilitation and Therapy Intensity:
- The intensity of therapy during inpatient rehabilitation significantly reduces the risk of ADL dependency at discharge.
- Voluntary training with family participation and continued training at home contribute to improved ADL outcomes.
Patient Satisfaction and Expectations:
- Patient satisfaction with rehabilitation progress is influenced by the return to previous lifestyle activities, depression, family functioning, and clarity of expectations at admission.

Conclusion

Multiple factors influence ADL outcomes at discharge in stroke patients undergoing rehabilitation. Key predictors include cognitive and executive functioning, initial physical and functional status, demographic and clinical characteristics, intensity of rehabilitation therapy, and patient satisfaction and expectations. Addressing these factors through targeted interventions can enhance rehabilitation outcomes and support the functional independence of stroke patients.

What factors have been reported to influence ADL at discharge in stroke patients undergoing rehabili

Summary

Introduction

Key Insights

Conclusion

Sources and full results

Orientation in the acute and chronic stroke patient: impact on ADL and social activities. The Copenhagen Stroke Study.

Decreased orientation negatively impacts basic and higher level ADL and social activities in acute and chronic stroke patients, suggesting memory and attention rehabilitation may be relevant.

[Factors related to ADL of stroke patients three months after discharge].

Age, gender, length of hospitalization, degree of paralysis at discharge, motivation for rehabilitation, sight, Barthel scores at discharge, and expression of intentions significantly impact daily living skills in stroke patients 3 months after discharge.

Executive functioning as a predictor of stroke rehabilitation outcomes

Executive functioning and depression are strong predictors of functional status following stroke rehabilitation, with pain also potentially useful in predictive models.

Predicting outcome after stroke: the role of basic activities of daily living predicting outcome after stroke.

Basic activities of daily living, particularly social interaction, grooming, upper body dressing, and bowel control, are important predictors of functional outcomes after stroke in inpatient rehabilitation.

Factors Affecting the ADL of Severe Hemiplegic Stroke Patients at Discharge from a Convalescence Rehabilitation Hospital

Age, time from stroke onset, and knee extensor muscle strength on the non-hemiplegic side at admission can predict daily living function in stroke patients at discharge from a rehabilitation hospital.

Factors contributing to patient satisfaction with rehabilitation following stroke

Satisfaction with rehabilitation progress after stroke improves over time, particularly for dressing and washing, and is influenced by returning to previous lifestyle activities, depression, family functioning, understanding of stroke, and clear expectations on admission.

In-patient rehabilitation after stroke: outcome and factors associated with improvement.

Most severely affected stroke patients can improve their activities of daily living during in-patient rehabilitation, with intracerebral haemorrhage, male sex, high postural stability score, and cohabitation being associated factors.

Factors Influencing Activities of Daily Living of Elderly Stroke Patients who were Discharged to their Home from a Convalescence Rehabilitation Ward

Shorter hospitalization, voluntary training with family participation, and continued training at home contribute to improved activities of daily living in elderly stroke patients after discharge.

Functional outcomes in inpatient rehabilitative care of stroke patients:predictive factors and the effect oftherapy intensity

In stroke patients, functional recovery is predicted by clinical and neurological factors and the intensity of therapy, with each hour of therapy significantly reducing the risk of ADL dependency at discharge.

The factors associated with the deterioration of activities of daily life in stroke patients: A retrospective cohort study

Nearly 1 in 5 stroke patients with independent mobility experienced ADL deterioration at 2 years after discharge, with aging, vascular risk factors, higher BBS scores at discharge, and post-stroke depression as risk factors.

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