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. 2022 Dec 17;5(1):100251.
doi: 10.1016/j.arrct.2022.100251. eCollection 2023 Mar.

Association of Caregiver Availability and Training With Patient Community Discharge After Stroke

Pamela R Bosch  1   2 , Dawn Barr  3 , Indrakshi Roy  4 , Maximillian Fabricant  1 , Audrey Mann  1 , Elizabeth Mangone  2 , Amol Karmarkar  5   6 , Amit Kumar  1   4
Affiliations

Association of Caregiver Availability and Training With Patient Community Discharge After Stroke

Pamela R Bosch et al. Arch Rehabil Res Clin Transl. .

Abstract

Objective: To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke.

Design: Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation.

Setting: Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area.

Participants: 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397).

Intervention: None.

Main outcome measure: Community discharge from IRF.

Results: 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively).

Conclusion: Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients' IRF discharge.

Keywords: Caregivers; Rehabilitation; Risk factors; Social determinants of health; Stroke.

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References

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