Social determinants of discharge destination for patients after stroke with low admission FIM instrument scores.
OBJECTIVE
To investigate the effects of immigrant status (via country of birth), marital status, and area-based socioeconomic status (SES) on discharge destination after stroke for those with low admission scores on the FIM instrument.


METHODS
Cross-sectional study.


METHODS
Inpatient rehabilitation ward at an urban community hospital in Australia.


METHODS
A total of 326 inpatients admitted for rehabilitation poststroke.


METHODS
Multidisciplinary rehabilitation.


METHODS
Discharge home versus nursing home.


RESULTS
A total admission FIM score of 75 or lower was associated with a higher probability of nursing home discharge. Married patients with a total FIM admission score of 75 or lower were significantly more likely to be discharged home, after adjusting for immigrant status, type and side of stroke, sex, and age (odds ratio, 6.07; 95% confidence interval, 1.65-22.40; P<.01). This effect was also observed for low motor and cognition components of FIM admission score. The effect of immigrant status did not remain significant after adjusting for marital status. Area-based SES and stroke characteristics did not substantially attenuate the relationship between immigrant status, marital status, and discharge location.


CONCLUSIONS
Marital status is a significant determinant of discharge destination. Immigrant status and area-based SES were not significant predictors of discharge disposition.
Nguyen
Tuan-Anh
TA
Department of Rehabilitation Medicine, Royal Prince Alfred Hospital, NSW, Australia. tuan-anh.nguyen@sswahs.nsw.gov.au
Page
Andrew
A
Aggarwal
Arun
A
Henke
Peter
P
D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D008875:Middle Aged; D009735:Nursing Homes; D010351:Patient Discharge / Q000706:statistics & numerical data*; D012047:Rehabilitation Centers; D012737:Sex Factors; D012959:Socioeconomic Factors; D000071939:Stroke Rehabilitation; D015599:Trauma Severity Indices