Abstract
Background and Aims: We aim to examine factors associated with being discharged to nursing homes after stroke and assess the long-term survival of these patients.
Method: First-ever strokes registered between 1995 and 2015 in the South London Stroke Register (SLSR) were examined. Baseline data included sociodemographics, case mix, prior risk factors, acute stroke processes, and discharge destination, with up to 20 years follow-up after stroke. Multiple logistic regressions were used to determine factors associated with being discharged to nursing homes as compared to private homes. Survival curves were estimated with Kaplan-Meier methods, and survival analyses were undertaken using Cox Proportional-hazards models.
Results: 342 patients were discharged to nursing, sheltered or residential homes, and 2563 to private homes in the SLSR between 1995 and 2015. Older age (odds ratio (OR): 1.06 (95% CI: 1.03–1.10)), living in nursing, sheltered or residential home pre-stroke (OR: 25.16 (10.44–60.59)) and incontinence of urine (OR: 3.11 (1.45–6.66) were significantly associated with being discharged to nursing homes. Patients discharged to nursing homes had a shorter median survival time of 2.5 years (vs 10 years for those in private homes) and 50% increased risk of death (hazard ratio (HR): 1.49 (1.27–1.74)) after adjustment for socio-demographics, case mix and stroke subtype.
Conclusion: A number of factors were associated with being discharged to nursing homes after stroke such as age, living conditions pre-stroke and urinary incontinence. Patient in nursing homes had poorer survival and increased risk of death as compared to those in private homes.
Method: First-ever strokes registered between 1995 and 2015 in the South London Stroke Register (SLSR) were examined. Baseline data included sociodemographics, case mix, prior risk factors, acute stroke processes, and discharge destination, with up to 20 years follow-up after stroke. Multiple logistic regressions were used to determine factors associated with being discharged to nursing homes as compared to private homes. Survival curves were estimated with Kaplan-Meier methods, and survival analyses were undertaken using Cox Proportional-hazards models.
Results: 342 patients were discharged to nursing, sheltered or residential homes, and 2563 to private homes in the SLSR between 1995 and 2015. Older age (odds ratio (OR): 1.06 (95% CI: 1.03–1.10)), living in nursing, sheltered or residential home pre-stroke (OR: 25.16 (10.44–60.59)) and incontinence of urine (OR: 3.11 (1.45–6.66) were significantly associated with being discharged to nursing homes. Patients discharged to nursing homes had a shorter median survival time of 2.5 years (vs 10 years for those in private homes) and 50% increased risk of death (hazard ratio (HR): 1.49 (1.27–1.74)) after adjustment for socio-demographics, case mix and stroke subtype.
Conclusion: A number of factors were associated with being discharged to nursing homes after stroke such as age, living conditions pre-stroke and urinary incontinence. Patient in nursing homes had poorer survival and increased risk of death as compared to those in private homes.
| Original language | English |
|---|---|
| Article number | AS24-005 |
| Pages (from-to) | 319-319 |
| Number of pages | 1 |
| Journal | European Stroke Journal |
| Volume | 2 |
| Issue number | 1_suppl |
| DOIs | |
| Publication status | Published - May 2017 |
| Event | European Stroke Organisation Conference 2017, Prague, May 2017 - Duration: 15 May 2017 → 18 May 2017 |