Socio-environmental predictive factors for discharge destination after inpatient rehabilitation in patients with stroke : a systematic review and meta-analysis

Chevalley, Odile (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium) ; Truijen, Steven (Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium) ; Saeys, Wim (Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium) ; Opsommer, Emmanuelle (HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland)

Purpose: To identify which of the socio-environmental factors of patients with stroke are predictive for discharge to their home after inpatient rehabilitation. Because discharge planning is a key component of rehabilitation, it is important to recognize the predictive factors for a discharge home. Other systematic reviews demonstrated the value of functional outcome measures. This review adds to the current literature by assessing the predictive value of socio-environmental factors, which shape the context in which a person lives. Methods: We performed a systematic search in seven databases. Two independent reviewers selected studies and assessed them for methodological quality. We extracted data to estimate pooled odds ratio for household situation, social support, ethnicity and socioeconomic status. Results: Forty studies were included. Significant estimates were found for living with others (OR 2.60; 95%CI 1.84-3.68), having support at home (OR 11.48; 95%CI 6.52-20.21), being married (OR 2.05; 95%CI 1.80-2.33) and living at home before stroke (OR 31.01; 95%CI 7.38-130.18). Conclusion: Living at home and benefiting from social support, including living with others, are important factors to consider during discharge planning after stroke. Further research should consider the impact of socioeconomic status.IMPLICATIONS FOR REHABILITATIONEvaluating the social and environmental factors of patients with stroke plays an important role in discharge planning.Next to functional status, caregiver availability (support at home) is among the strongest predictive factors for discharge home.To assess caregiver availability, the presence of a willing and able caregiver should be surveyed at admission.Further predictive factors for discharge home are cohabitation and marital status.


Keywords:
Article Type:
scientifique
Faculty:
Santé
Branch:
Physiothérapie
School:
HESAV
Institute:
Unité de recherche en santé, HESAV
Date:
2021-05
Pagination:
13 p.
Published in:
Disability and rehabilitation
Numeration (vol. no.):
To be published
DOI:
ISSN:
0963-8288
Appears in Collection:



 Record created 2021-05-28, last modified 2021-06-11

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