Prediction of discharge destination after stroke using the motor assessment scale on admission: a prospective, multisite study.
OBJECTIVE
To determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation.


METHODS
Cohort study.


METHODS
Inpatient rehabilitation units.


METHODS
Adults (N=566) diagnosed with stroke undergoing inpatient physiotherapy at one of 15 units in Australia.


METHODS
Multidisciplinary rehabilitation.


METHODS
Discharge home versus residential aged care.


RESULTS
Prestroke residential status, gait ability measured with the MAS (MAS-5), rolling ability (MAS-1), and age were able to correctly predict 99% of patients with stroke discharged home and 33.3% discharged to residential aged care facilities, producing an accuracy of 87.3%. Odds ratios indicate that for every 1-point increase in MAS-5 (gait), subjects were 1.66 times more likely to go home (95% confidence interval [CI], 1.28-2.27; P<.001). Similarly, for every 1-point increase in MAS-1 (rolling), subjects were 1.28 times more likely to go home (95% CI, 1.11-1.49; P<.01).


CONCLUSIONS
Two items of the MAS assessed on admission to rehabilitation-gait and rolling-in conjunction with basic demographic information of age and prestroke residential status, were highly predictive of discharge from rehabilitation to home.
Brauer
Sandra G
SG
Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia. s.brauer@shrs.uq.edu.au
Bew
Paul G
PG
Kuys
Suzanne S
SS
Lynch
Mary R
MR
Morrison
Greg
G
D000367:Age Factors; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D020233:Gait Disorders, Neurologic / Q000503:physiopathology; D006801:Humans; D016015:Logistic Models; D008297:Male; D010343:Patient Admission; D010351:Patient Discharge; D011446:Prospective Studies; D011597:Psychomotor Performance / Q000502:physiology*; D012112:Residential Facilities / Q000706:statistics & numerical data*; D012680:Sensitivity and Specificity; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation