Article

In the future, budget constraints will make efficient care for stroke
patients more important.
The cost of hospitalization for stroke is high. It is
desirable to consider a patient's discharge destination soon after onset and
thereby screen patients for further care. This study aims to review the evidence
of factors that determine discharge destinations after acute phase of stroke in
adult patients. METHODS:
The systematic literature search was performed in seven
databases. This systematic review was conducted by the preferred reporting items
for systematic reviews and meta-analyses (PRISMA statement). Full-text articles
were included and assessed for methodological quality by two independent
researchers. RESULTS: Eighteen articles were selected that demonstrate factors
defining discharge destination. Younger age, good post-stroke admission to a
teaching hospital, and a number of medical factors are determinants to a
favorable discharge destination. Determinants for unfavorable discharge
destinations were a severe stroke, high body mass index, alcohol abuse, statin
withdrawal during hospitalization, the presence of comorbidities like respiratory
failure and dementia or having a Medicaid insurance. CONCLUSION: Patient initial
medical care, age and sex, neurological and medical complications and
environmental/socio-economic factors should be considered in the decision-making
process for discharge destination. [Box: see text].

Langue : ANGLAIS