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Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke?
OBJECTIVE: To investigate the association of poststroke physical function, measured within 24 hours prior to discharge from the acute care hospital using Activity Measure for Postacute Care (AM-PAC) Inpatient “6-Clicks” scores and discharge destination (home vs facility and inpatient rehabilitation...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761263/ https://www.ncbi.nlm.nih.gov/pubmed/36545521 http://dx.doi.org/10.1016/j.arrct.2022.100228 |
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author | Hayes, Heather Anne Marcus, Robin Stoddard, Gregory J. McFadden, Molly Magel, Jake Hess, Rachel |
author_facet | Hayes, Heather Anne Marcus, Robin Stoddard, Gregory J. McFadden, Molly Magel, Jake Hess, Rachel |
author_sort | Hayes, Heather Anne |
collection | PubMed |
description | OBJECTIVE: To investigate the association of poststroke physical function, measured within 24 hours prior to discharge from the acute care hospital using Activity Measure for Postacute Care (AM-PAC) Inpatient “6-Clicks” scores and discharge destination (home vs facility and inpatient rehabilitation facility [IRF] vs skilled nursing facility [SNF]). DESIGN: Retrospective cross-sectional cohort study. SETTING: Acute care, University Hospital. PARTICIPANTS: Individuals post acute ischemic stroke, N=721, 51.3% male, mean age 63.6±16.4 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: AM-PAC “6-Clicks” 3 domains: basic mobility, daily activity, and applied cognition. RESULTS: AM-PAC basic mobility and daily activity were significant predictors of discharge. Those in the home discharge group had AM-PAC basic mobility mean t scale score of 48.5 compared with a score of 34.8 for individuals sent to a facility and daily activity score of 47.2 compared with 32.7 for individuals sent to a facility. The AM-PAC variables accounted for an additional 24% of the variance in the discharge destination, with basic mobility and daily activity accounting for most of the variance. The AM-PAC scores were not statistically different and were not able to discriminate between placement in an IRF vs SNF. The mean basic mobility t scale score for individuals going to an IRF was 34.9 compared with 34.6 for those going to an SNF. The daily activity score for IRF was 32.8 compared with 32.6 for SNF. The AM-PAC accounted for no additional variance in discharge destination to an IRF or SNF. CONCLUSIONS: The AM-PAC Inpatient “6-Clicks” 3 domains are able to distinguish individuals with stroke being discharged to home from postacute care (PAC) but not for differentiating between PAC facilities (IRF vs SNF) in this cohort of individuals post stroke. |
format | Online Article Text |
id | pubmed-9761263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-97612632022-12-20 Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? Hayes, Heather Anne Marcus, Robin Stoddard, Gregory J. McFadden, Molly Magel, Jake Hess, Rachel Arch Rehabil Res Clin Transl Original Research OBJECTIVE: To investigate the association of poststroke physical function, measured within 24 hours prior to discharge from the acute care hospital using Activity Measure for Postacute Care (AM-PAC) Inpatient “6-Clicks” scores and discharge destination (home vs facility and inpatient rehabilitation facility [IRF] vs skilled nursing facility [SNF]). DESIGN: Retrospective cross-sectional cohort study. SETTING: Acute care, University Hospital. PARTICIPANTS: Individuals post acute ischemic stroke, N=721, 51.3% male, mean age 63.6±16.4 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: AM-PAC “6-Clicks” 3 domains: basic mobility, daily activity, and applied cognition. RESULTS: AM-PAC basic mobility and daily activity were significant predictors of discharge. Those in the home discharge group had AM-PAC basic mobility mean t scale score of 48.5 compared with a score of 34.8 for individuals sent to a facility and daily activity score of 47.2 compared with 32.7 for individuals sent to a facility. The AM-PAC variables accounted for an additional 24% of the variance in the discharge destination, with basic mobility and daily activity accounting for most of the variance. The AM-PAC scores were not statistically different and were not able to discriminate between placement in an IRF vs SNF. The mean basic mobility t scale score for individuals going to an IRF was 34.9 compared with 34.6 for those going to an SNF. The daily activity score for IRF was 32.8 compared with 32.6 for SNF. The AM-PAC accounted for no additional variance in discharge destination to an IRF or SNF. CONCLUSIONS: The AM-PAC Inpatient “6-Clicks” 3 domains are able to distinguish individuals with stroke being discharged to home from postacute care (PAC) but not for differentiating between PAC facilities (IRF vs SNF) in this cohort of individuals post stroke. Elsevier 2022-09-02 /pmc/articles/PMC9761263/ /pubmed/36545521 http://dx.doi.org/10.1016/j.arrct.2022.100228 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Hayes, Heather Anne Marcus, Robin Stoddard, Gregory J. McFadden, Molly Magel, Jake Hess, Rachel Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title | Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title_full | Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title_fullStr | Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title_full_unstemmed | Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title_short | Is the Activity Measure for Postacute Care “6-Clicks” Tool Associated With Discharge Destination Postacute Stroke? |
title_sort | is the activity measure for postacute care “6-clicks” tool associated with discharge destination postacute stroke? |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761263/ https://www.ncbi.nlm.nih.gov/pubmed/36545521 http://dx.doi.org/10.1016/j.arrct.2022.100228 |
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