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Development and validation of a prediction model for home discharge in patients with moderate stroke: The Korean stroke cohort for functioning and rehabilitation study

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dc.contributor.author김덕용-
dc.date.accessioned2020-09-28T00:54:58Z-
dc.date.available2020-09-28T00:54:58Z-
dc.date.issued2020-01-
dc.identifier.issn1074-9357-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/178985-
dc.description.abstractBackground: Previous studies have investigated the predictors for home discharge without considering stroke severity. Objectives: To develop a practical assessment tool that predicts home discharge for moderate stroke patients after subacute rehabilitation therapy in the tertiary hospitals. Methods: Stroke patients with National Institutes of Health Stroke Scale scores of 6 to 13 were included in this prospective cohort study. Various demographic, clinical, and functional factors were analyzed as potential predictive factors. A weighted scoring model was developed through the following three-step process: 1) selection of the factors by logistic regression analyses, 2) development of a weighted scoring model, and 3) validation of the generalizability of the model. Results: The home discharge rate was 51% (n = 372), and the overall mean length of stay of hospitalization was 32.5 days. 1) The Cognitive Functional Independence Measure, 2) the Functional Ambulation Categories, 3) the modified Charlson Comorbidity Index, and 4) marital status were independent predictors of home discharge. The coefficient value for marital status was adjusted to 1 in the scoring system, and the values of the other parameters were proportionally converted to the nearest integer. Possible total scores ranged from 0 to 13 in the model, with a higher score indicating a higher probability of home discharge. With a cutoff point of 7, this model showed 87.0% sensitivity and 86.2% specificity (area under the curve = 0.90). Conclusions: This novel assessment tool can be useful in predicting home discharge after subacute rehabilitation of moderate stroke patients.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherTaylor & Francis-
dc.relation.isPartOfTOPICS IN STROKE REHABILITATION-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleDevelopment and validation of a prediction model for home discharge in patients with moderate stroke: The Korean stroke cohort for functioning and rehabilitation study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Rehabilitation Medicine (재활의학교실)-
dc.contributor.googleauthorMin-Su Kim-
dc.contributor.googleauthorMin Cheol Joo-
dc.contributor.googleauthorMin Kyun Sohn-
dc.contributor.googleauthorJongmin Lee-
dc.contributor.googleauthorDeog Young Kim-
dc.contributor.googleauthorSam-Gyu Lee-
dc.contributor.googleauthorYong-Il Shin-
dc.contributor.googleauthorSoo-Yeon Kim-
dc.contributor.googleauthorGyung-Jae Oh-
dc.contributor.googleauthorYang-Soo Lee-
dc.contributor.googleauthorEun Young Han-
dc.contributor.googleauthorJunhee Han-
dc.contributor.googleauthorJeonghoon Ahn-
dc.contributor.googleauthorWon Hyuk Chang-
dc.contributor.googleauthorYun-Hee Kim-
dc.contributor.googleauthorJi Yoo Choi-
dc.contributor.googleauthorSung Hyun Kang-
dc.contributor.googleauthorYoung Taek Kim-
dc.identifier.doi10.1080/10749357.2019.1711338-
dc.contributor.localIdA00375-
dc.relation.journalcodeJ03896-
dc.identifier.eissn1945-5119-
dc.identifier.pmid31941411-
dc.identifier.urlhttps://www.tandfonline.com/doi/full/10.1080/10749357.2019.1711338-
dc.subject.keywordDisability Evaluation-
dc.subject.keywordPatient Discharge-
dc.subject.keywordRecovery of Function-
dc.subject.keywordRehabilitation-
dc.subject.keywordStroke-
dc.contributor.alternativeNameKim, Deog Young-
dc.contributor.affiliatedAuthor김덕용-
dc.citation.volume27-
dc.citation.number6-
dc.citation.startPage453-
dc.citation.endPage461-
dc.identifier.bibliographicCitationTOPICS IN STROKE REHABILITATION, Vol.27(6) : 453-461, 2020-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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