Outcomes after stroke: Basic and instrumental activities of daily living, community reintegration and generic health status

Tammy Hoffmann, Kryss McKenna*, Deirdre Cooke, Leigh Tooth

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

23 Citations (Scopus)

Abstract

This study describes the discharge destination, basic and instrumental activities of daily living (ADL), community reintegration and generic health status of people after stroke, and explored whether sociodemographic and clinical characteristics were associated with these outcomes. Participants were 51 people, with an initial stroke, admitted to an acute hospital and discharged to the community. Admission and discharge data were obtained by chart review. Follow-up status was determined by telephone interview using the Modified Barthel Index, the Assessment of Living Skills and Resources, the Reintegration to Normal Living Index, and the Short-Form Health Survey (SF-36). At follow up, 57% of participants were independent in basic ADL, 84% had a low risk of experiencing instrumental ADL difficulties, most had few concerns with community reintegration, and SF-36 physical functioning and vitality scores were lower than normative values. At follow up, poorer discharge basic ADL status was associated with poorer instrumental ADL and community reintegration status, and older participants had poorer instrumental ADL, community reintegration and physical functioning. Occupational therapists need to consider these outcomes when planning inpatient and post-discharge intervention for people after stroke.

Original languageEnglish
Pages (from-to)225-233
Number of pages9
JournalAustralian Occupational Therapy Journal
Volume50
Issue number4
DOIs
Publication statusPublished - Dec 2003
Externally publishedYes

Fingerprint

Dive into the research topics of 'Outcomes after stroke: Basic and instrumental activities of daily living, community reintegration and generic health status'. Together they form a unique fingerprint.

Cite this