Examination of GG-Mobility Items and Select Core Set Outcome Measures on Predicting Discharge Destination and Length of Stay From an Inpatient Rehab Facility in Stroke: A Pilot Study

Abstract

<h3>Research Objectives</h3> To determine which mobility assessment measures at admission are predictive of IRF length of stay and IRF discharge destination in patients post stroke. <h3>Design</h3> A clinical prediction pilot study was carried out on a cohort sample utilizing a retrospective audit. <h3>Setting</h3> The study took place in an IRF. <h3>Participants</h3> Inpatients with a diagnosis of acute/subacute stroke were included if they received IRF-PAI assessment, Berg Balance Scale, 10 Meter Walk Test, and Five Times Sit-to-Stand on admission (n = 65). <h3>Interventions</h3> N/A. <h3>Main Outcome Measures</h3> Subjects involved in this analysis completed the Berg Balance Scale, 10-Meter Walk Test scores, Five Times Sit-to-Stand Test, and GG Mobility items at admission including Mobility composite score, Walk composite score, Walk 150ft score, and Transfers score. Additionally, length of stay and discharge destination were examined. <h3>Results</h3> Examination of relationships between selected Core Set measures and selected GG-items revealed that all were significantly correlated at admission (p < .001). Analyses revealed that discharge destination (home versus skilled nursing facility) significantly correlated with Berg Balance Scale (p < .05), Ten-Meter Walk Test (p < .05), Five Times Sit-to-Stand (p < .05), GG Mobility Composite (p < .01), and GG Transfer score (p < .01) at admission; however, only GG Transfer score was a significant predictor of discharge destination when examining with logistic regression (p = .005). Analyses revealed that length of stay significantly correlated with Berg Balance Scale (p < .001), Ten-Meter Walk Test (p < .001), Five Times Sit-to-Stand (p < .01), GG Walk Composite (p < .001), GG Walk 150 feet (p < .01), GG Mobility Composite (p < .001), and GG Transfer score (p < .01) at admission; however, Berg Balance Scale score at admission was the only significant predictor of length of stay when examining with linear regression (p < .001). <h3>Conclusions</h3> In this pilot study, selected Core Set measures were strongly correlated with selected GG mobility items at admission and possessed significant predictive capabilities in regards to discharge destination and length of stay in IRF. <h3>Author(s) Disclosures</h3> None.