Prediction of Discharge Destination After Stroke Using the Motor Assessment Scale on Admission: A Prospective, Multisite Study
Presented to the Australian Physiotherapy Association National Neurology and Gerontology, November 2005, Melbourne, Australia.
Abstract
Brauer SG, Bew PG, Kuys SS, Lynch MR, Morrison G. Prediction of discharge destination after stroke using the Motor Assessment Scale on admission: a prospective, multisite study.
Objective
To determine if admission functional status, measured with the Motor Assessment Scale (MAS), was predictive of discharge destination to home or residential aged care in patients with stroke undergoing rehabilitation.
Design
Cohort study.
Setting
Inpatient rehabilitation units.
Participants
Adults (N=566) diagnosed with stroke undergoing inpatient physiotherapy at one of 15 units in Australia.
Intervention
Multidisciplinary rehabilitation.
Main Outcome Measure
Discharge home versus residential aged care.
Results
Prestroke residential status, gait ability measured with the MAS (MAS-5), rolling ability (MAS-1), and age were able to correctly predict 99% of patients with stroke discharged home and 33.3% discharged to residential aged care facilities, producing an accuracy of 87.3%. Odds ratios indicate that for every 1-point increase in MAS-5 (gait), subjects were 1.66 times more likely to go home (95% confidence interval [CI], 1.28–2.27; P<.001). Similarly, for every 1-point increase in MAS-1 (rolling), subjects were 1.28 times more likely to go home (95% CI, 1.11–1.49; P<.01).
Conclusions
Two items of the MAS assessed on admission to rehabilitation—gait and rolling—in conjunction with basic demographic information of age and prestroke residential status, were highly predictive of discharge from rehabilitation to home.
cSchool of Physiotherapy and Exercise Science, Griffith University, Gold Coast, Australia
dDepartment of Physiotherapy, Princess Alexandra Hospital, Woolloongabba, Australia.
Reprint requests to Sandra G. Brauer, PhD, Div of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Qld 4072, Australia
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
ABSTRACT