title: The Mobility Scale for Acute Stroke predicts discharge destination after acute hospitalization.
abstract: OBJECTIVE
  To evaluate the predictive validity of the Mobility Scale for Acute Stroke (MSAS) in determining discharge destination (home or not home) after an acute stroke.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Two-hundred and twenty-three patients with acute ischemic or intraparenchymal hemorrhagic, unilateral stroke
  
  
  METHODS
  The MSAS was administered as part of the initial physical therapy examination. The Receiver Operating Characteristic determined the optimal MSAS cutoff score associated with discharge home. A multiple logistic regression equation with discharge destination as the criterion variable (home or not home) was conducted with age, length of stay and optimal MSAS cutoff score as covariates.
  
  
  RESULTS
  Subjects were discharged home 35.9% (n = 80) and not home 64.1% (n = 143) of the time. Mean age was 68.5 years (standard deviation 1.8). The ROC determined 26 to be the optimal cutoff score for the MSAS. Results of the multiple logistic regression equation indicated that controlling for age and length of stay, only the MSAS cutoff score of 26 reliably predicted discharge to home with an adjusted odds ratio of 57.79 with a 95% confidence interval of 20.09-166.21.
  
  
  CONCLUSIONS
  The MSAS may be useful for predicting discharge destination from the acute hospital after stroke.
authors: Department of Rehabilitation Services, Brigham and Women's Hospital, 02115 Boston, USA. mtinl@partners.org.
authors: Megan L
authors: ML
authors: Tinl
authors: Madhuri K
authors: MK
authors: Kale
authors: Saloni
authors: S
authors: Doshi
authors: Anthony J
authors: AJ
authors: Guarino
authors: Marianne
authors: M
authors: Beninato
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002422:Causalgia; D002648:Child; D015331:Cohort Studies; D015897:Comorbidity; D004434:Early Ambulation / Q000145:classification*; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D010351:Patient Discharge / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D012372:ROC Curve; D015203:Reproducibility of Results; D020521:Stroke / Q000145:classification / Q000453:epidemiology*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome; D055815:Young Adult