title: Poststroke disposition and associated factors in a population-based study: the Dijon Stroke Registry.
abstract: OBJECTIVE
  The organization of poststroke care will be a major challenge in coming years. We aimed to assess hospital disposition after stroke and its associated factors in clinical practice.
  
  
  METHODS
  All cases of stroke from 2006 to 2010 were identified from the population-based Stroke Registry of Dijon, France. Demographic features, risk factors, and prestroke treatments were recorded. Admission stroke severity was assessed using the National Institutes of Health Stroke Scale score. At discharge, we collected dementia, disability using the modified Rankin Scale, length of stay, and hospital disposition (home, rehabilitation, convalescent home, and nursing home). Multivariate analyses were performed using logistic regression models to identify associated factors of postdischarge disposition.
  
  
  RESULTS
  Of the patients with 1069 stroke included, 913 survived acute care. Among them, 433 (47.4%) returned home, whereas 206 (22.6%) were discharged to rehabilitation, 134 (14.7%) were admitted to a convalescent home, and 140 (15.3%) to a nursing home. Old patients, those under anticoagulants before stroke, those with severe stroke on admission, severe disability at discharge, dementia, or prolonged length of stay were less likely to return home. Moreover, advanced age, severe initial stroke, severe disability at discharge, and dementia were associated with admission to convalescent and nursing homes rather than rehabilitation centers.
  
  
  CONCLUSIONS
  This population-based study demonstrated that postdischarge destinations are associated with several factors. Our findings may be useful to establish health policy concerning the organization of poststroke care.
authors.affiliation: Dijon Stroke Registry, EA4184, Department of Neurology, University Hospital and Medical School of Dijon, University of Burgundy, Dijon, France. ybejot@yahoo.fr
authors.forename: Yannick
authors.initials: Y
authors.lastname: Béjot
authors.forename: Odile
authors.initials: O
authors.lastname: Troisgros
authors.forename: Vincent
authors.initials: V
authors.lastname: Gremeaux
authors.forename: Brigitte
authors.initials: B
authors.lastname: Lucas
authors.forename: Agnès
authors.initials: A
authors.lastname: Jacquin
authors.forename: Catia
authors.initials: C
authors.lastname: Khoumri
authors.forename: Corine
authors.initials: C
authors.lastname: Aboa-Eboulé
authors.forename: Charles
authors.initials: C
authors.lastname: Benaïm
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Casillas
authors.forename: Maurice
authors.initials: M
authors.lastname: Giroud
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D001037:Aphasia / Q000209:etiology; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D010351:Patient Discharge; D011153:Population; D011446:Prospective Studies; D020127:Recovery of Function; D012307:Risk Factors; D020521:Stroke / Q000145:classification / Q000453:epidemiology; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants