Mean length of stay and rate of discharge to home adjusted for severity in rehabilitation hospitals participating in Kumamoto Stroke Liaison Critical Pathway

  • Tokunaga Makoto
    Kumamoto Kinoh Hospital Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Watanabe Susumu
    Kumamoto Kinoh Hospital Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Nakanishi Ryoji
    Kumamoto Kinoh Hospital Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Yamanaga Hiroaki
    Kumamoto Kinoh Hospital Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Kawasaki Makoto
    Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Hirata Yoshifumi
    Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Yamaga Makio
    Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Terasaki Tadashi
    Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Hashimoto Yoichiro
    Kumamoto Seamless Stroke Referral Associates for CVD Amelioration
  • Sonoda Shigeru
    Fujita Health University Nanakuri Sanatorium

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Tokunaga M, Watanabe S, Nakanishi R, Yamanaga H, Kawasaki M, Hirata Y, Yamaga M, Terasaki T, Hashimoto Y, Sonoda S. Mean length of stay and rate of discharge to home adjusted for severity in rehabilitation hospitals participating in Kumamoto Stroke Liaison Critical Pathway. Jpn J Compr Rehabil Sci 2012; 3: 26-31.<BR>Objective:To clarify the mean length of stay (LOS) and rate of discharge to home adjusted for severity [total Nichijo-seikatsu-hyokahyo (NSKH; English translation: Functional Assessment of Daily Living Table) score] in rehabilitation hospitals participating in Kumamoto Stroke Liaison Critical Pathway.<BR>Methods:A total of 762 stroke patients were studied. The overall severity distribution in all the hospitals was used as the standard severity distribution. The severity distribution in each rehabilitation hospital was adjusted to match the standard severity distribution. Under this condition, the mean LOS and rate of discharge to home in each hospital were calculated.<BR>Results:The adjusted rate of discharge to home tended to increase in a nearly linear manner with prolongation of the adjusted mean LOS. However, even in hospitals with adjusted mean LOS longer than 90 days, the adjusted rate of discharge to home remained around 0.7.<BR>Conclusion:No rehabilitation hospitals in Kumamoto Prefecture achieved a short LOS and high rate of discharge to home. To avoid reduction of the rate of discharge to home, an adjusted mean LOS longer than 90 days is probably necessary.

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