Regarding discharge disposition or other topics in the post-acute inpatient
rehabilitation setting, future studies should report the admission criteria used, the
duration between stroke onset and admission, the length of stay, and the guideline or
considerations they use to advice about discharge disposition. Cost-effective analyses
in patients point-of-view may help delineating their decision making process on
discharge disposition. In our future studies, we will perform caregiver interviews and
collect caregiver demographics in detail.
Our study had the following clinical implications. First, rehabilitation teams should
provide counseling of discharge disposition to stroke patients’ and their caregivers
!early during hospitalization. Second, at clinical level and in policy making, efforts
need to made to provide support for informal caregivers especially patients’ daughters
during post-acute inpatient stage and other stages of stroke. For those patients’ with
poor social networks, we should provide them with formal caregiver resources. In the
long run, public health workers and policy makers should work on a community
model which provides high-quality rehabilitation service for post-acute and chronic
stage stroke patients to facilitate their home discharge and reintegration into society.
!
Conclusion
The rate of failure of home discharge after post-acute inpatient rehabilitation was high
in Taiwan and having more daughters was associated with a lower risk.
!
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