Association between performance of basic movements at admission and socioenvironmental factors and returning home following inpatient stroke rehabilitation.
Hiroto Fukumoto, Kazuaki Oyake, Hiroto Mizoguchi and 1 others
PMID 39902304WHAT IT FOUND
Stroke patients who could perform basic movements like sitting and standing on admission were more likely to return home.
This association held even after accounting for living arrangements and family support, making physical function a key predictor of discharge destination.
Key findings
01Basic movement ability at admission (ABMS II score) was significantly associated with returning home, even after adjusting for socio-environmental factors.
02Pre-stroke cohabitation status was the only socio-environmental factor significantly associated with returning home in the multivariable analysis.
03Patients who returned home had significantly higher ABMS II scores at admission (26.1 points) compared to those discharged to facilities (17.9 points).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was conducted at a single center in Japan, so findings may not generalize to other healthcare systems or countries with different social support structures. It was a retrospective design, relying on existing medical records, which may introduce bias or missing data. The analysis did not include several known confounders such as socioeconomic status, housing conditions, cognitive function, or bowel/bladder function, which could influence discharge destination. The definition of 'support at home' (having a first-degree relative in the same prefecture) may be too broad to capture the actual availability of caregiving.
Declared interests
None declared.
The easy way to misread this
Do not assume that social support alone guarantees a home discharge. Even with family nearby, patients with poor basic movement ability at admission were significantly less likely to return home. Physical function, particularly the ability to sit and stand, was the strongest predictor.