The relationship between Nichijo-seikastu-kino-hyoka scores and discharge destinations in patients with motor system disorders in a Kaifukuki rehabilitation ward / 日本プライマリ・ケア連合学会誌

<b>Objective</b> : The aims of this study were to evaluate the relationship between Nichijo-seikastu-kino-hyoka (NSKH) scores, factors that influenced these scores, and discharge destinations of the patients with motor system disorders who were treated at a Kaifukuki rehabilitation ward.<br><b>Methods</b> : The NSKH scores of 184 patients with motor system disorders who were treated in a Kaifukuki rehabilitation ward were evaluated on admission and at the time of discharge.<br><b>Results</b> : The subjects whose NSKH scores on admission were three or less were all discharged to their homes. The scores at discharge improved to 0 in more than 50% of the subjects, but the difference in their discharge destinations, depending on their score, was not clear. Multiple logistic regressions were performed to evaluate factors that influenced the scores when the discharge destination was not to their home, which revealed that the number of family members (OR=0.428, 95% CI 0.229-0.797), and NSKH scores at discharge (OR=1.340, 95% CI 1.046-1.716) were influencing factors.<br><b>Conclusion</b> : The results of this study suggest that the subjects whose NSKH score on admission was three or less were more likely to be discharged to their homes thereby indicating that their discharge destinations were predictable. The factors influencing their discharge destinations were the NSKH scores at the time of discharge and the number of family members.

Determinants of Discharge Destinations of Cerebrovascular Disease Patients in a Convalescent Rehabilitation Ward: Analysis using ADL Assessment Scale / 日本プライマリ・ケア連合学会誌

Purposes<br> The purposes of this study were to analyze the relationship between the discharge destinations of patients with cerebrovascular diseases (CVD) in our convalescent rehabilitation ward and their levels of activities of daily living (ADL), and also to consider the factors causing those patients difficulties upon discharge. <br>Methods<br> The subjects were 114 CVD patients in our Convalescent Rehabilitation Ward. <br> The investigation was conducted to examine their ADL score, both at hospitalization and at discharge, and to analyze the relationship between changes in their ADL scores and their discharge destinations. <br>Discussion<br> It was suggested that reduction of the ADL score from above 8 points at hospitalization, to less than 4 at discharge, contributed to improvement of the rate of discharge to the patients' own homes, and that four items in the ADL assessment scale, such as ‘transfer’, ‘ability to communicate’, ‘locomotion’ and ‘oral care’, had an effect on their discharge destinations.