Abstract
The Journal of the Ceylon College of Physicians (JCCP) is a peer-reviewed, open access journal published bi-annually by the Ceylon College of Physicians (CCP) in the last week of June and December.The objective of the Journal is to promote good clinical practice and influence policy making across the medical world through publication of original research and peer reviewed articles on current issues and to foster responsible and balanced debate on issues that affect medicine and health care in Sri Lanka. Contributions to the JCCP reflect its national and multidisciplinary readership and include current thinking across a range of medical specialties.
Highlights
Heterogeneity of stroke outcome measures has increased the complexity of there usefulness across institutions
A significant difference was noted in the total Functional Independence Measure (FIM) for patients who were discharged home compared to those discharged to high level residential care (HLOC)(p
In Australia as in most other countries funding for stroke rehabilitation including other fields of inpatient care, is based on ‘case mix’ – referring to the number and types of patients or diseases being treated by a health care provider
Summary
Purpose of this study was to identify key variables related to the patient at the time of admission to stroke rehabilitation ward that could be used to recognize patient’s discharge destination. We have recognized several other prognostic indicators for discharge destination that could be identified at the time of admission to stroke rehabilitation These include total admission FIM score, FIM for upper limb dressing, length of stay in the acute care hospital prior to admission to stroke rehabilitation, age, and carer support. Delay in recruitment often is a result of patient requiring medical management of active medical conditions such as febrile illness, marked biochemical abnormalities or other acute medical conditions This reflects our finding of length of stay at the acute care hospital 14 d or over as a poor prognostic indicator. Total assistance (patient can perform less than 25% of the task or requires more than one person to assist)
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