Article

PURPOSE: To examine whether Functional Independence Measure (FIM) scores on
admission can predict the future care levels of patients after acute stroke.
METHODS: In this multicenter retrospective cohort study,
we enrolled post-acute
stroke patients and assessed stroke subtypes, self-care abilities using FIM
scores, and discharge destination. Patients' care levels were assessed according
to the Long-Term Care Insurance (LTCI) system
(0-5: slight impairment to
bedridden), the national insurance plan for care in Japan, at discharge. We
divided patients into two groups according to LTCI care levels (0-2 versus 3-5)
to compare their clinical characteristics using multivariate logistic regression
analysis. The trial was registered with the UMIN Clinical Trials Registry
(UMIN000012653). RESULTS: Of the 1261 patients (47% female, mean age 75 years),
492 (39%) fulfilled LTCI care levels 0-2. FIM scores on admission were
significantly correlated with LTCI care levels (p < 0.001). On multivariate
analysis, age and FIM scores on admission were found to be independent predictors
of LTCI care levels 0-2. CONCLUSIONS: FIM scores on admission after stroke can
independently predict later care requirements. Early prediction of LTCI care
levels may contribute to the early supported discharge and improve the efficiency
of healthcare planning. Implications for Rehabilitation There is a clear
relationship between Functional Independence Measure (FIM) scores and the care
levels certified by the Long-Term Care Insurance (LTCI) system, a national
healthcare and insurance system in Japan. FIM scores on admission can predict
future LTCI care levels required for patients after acute stroke. Early
prediction of LTCI care levels may contribute to early supported discharge,
improve the efficiency of stroke management and assist healthcare planning.

Langue : ANGLAIS