title: Predicting discharge destination after stroke: A systematic review.
abstract: Different factors have been studied and proven to significantly influence discharge destination of acute stroke patients after hospitalization. Few reviews have been published combining the results of these studies. Therefore we aim to present an overview of the studies conducted regarding these predicting factors. Through conducting a systematic review we aimed to study the different predictive factors influencing discharge destination of acute stroke patients after hospitalization. Nineteen articles were selected in accordance with the research question and inclusion criteria. The factors found were, according to their significance in the articles, subcategorized in age, gender, functional status, cognitive status, race and ethnicity, co morbidities, education, stroke characteristics, social and living situation. The main factors significantly associated with other than home discharge were functional dependence/comorbidities, neurocognitive dysfunction and previous living circumstances/marital status. A medium or large infarct is associated with institutionalization. The stroke volume is not associated with home discharge. The effect of other factors remain controversial and results differ between studies. These include: age, gender, race, affected hemisphere and availability of a caregiver not living at home. Factors such as education, hospital complications, geographic location and FIM progression during hospitalization have not been studied sufficiently.
authors.affiliation: Born Bunge Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, B2610 Wilrijk, Belgium. Electronic address: margot.mees@student.uantwerpen.be.
authors.forename: Margot
authors.initials: M
authors.lastname: Mees
authors.affiliation: Born Bunge Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, B2610 Wilrijk, Belgium.
authors.forename: Jelle
authors.initials: J
authors.lastname: Klein
authors.affiliation: Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, B2650 Edegem, Belgium.
authors.forename: Laetitia
authors.initials: L
authors.lastname: Yperzeele
authors.affiliation: Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, B2650 Edegem, Belgium.
authors.forename: Peter
authors.initials: P
authors.lastname: Vanacker
authors.affiliation: Born Bunge Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, B2610 Wilrijk, Belgium; Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, B2650 Edegem, Belgium.
authors.forename: Patrick
authors.initials: P
authors.lastname: Cras
mesh_terms: D017677:Age Distribution; D017028:Caregivers; D003071:Cognition; D006801:Humans; D010351:Patient Discharge / Q000191:economics; D012727:Sex Characteristics; D020521:Stroke / Q000503:physiopathology / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000191:economics
keywords: Discharge course; Discharge location; Nursing facility; Rehabilitation