Abstract Details

Title Stroke Outcome, Functionality and Health Care Resource Utilization among Elderly

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P02 - (-)

Poster/Presentation
Number 024

Objective

Background BACKGROUND: Even though stroke care standards are available, they are generally not patient specific and do not take into consideration the functional status among elderly patients leading to improper health care resource utilization. Hence it was decided to evaluate stroke outcome data based on functionality and other factors.

Design/Methods DESIGN/METHODS: A retrospective study performed in the Geriatrics department of Millard Fillmore Hospital, Buffalo, New York included stroke patients aged 80 and above. The data was collected for the period 1/2009 - 8/2009. After exclusions, the sample size was 175 patients. Stroke outcome was defined based on discharge destination, functional activity and death. The functionality for nursing home and rehabilitation center patients was determined at 30 days post discharge using modified functional independence score. Any functionality requiring moderate assistance or more was considered as poor outcome for the purpose of this study. Home discharge was considered good outcome. Outcome data was analyzed with respect to diagnostic studies, stroke severity and co-morbidities. Length of stay was analyzed with respect to investigational studies.

Results RESULTS: In our study, 49% patients had favorable outcome. Stroke outcome was found to depend on severity of stroke, presence of co-morbid conditions, dysphagia and dementia. (p-value < 0.05). Diagnostic studies had no effect on outcome (p-value > 0.05). Length of stay was 2.7 days more for those patients who underwent more diagnostic investigations (p-value <0.05). The risk factor profile was similar in outcome groups.

Conclusions CONCLUSIONS: Identifying factors that impact stroke outcome, may reduce unwanted investigations, decrease the length of hospital stay and lead to proper utilization of hospital resources which in turn could be used for improvement in the functional state of patients.

Authors/Disclosures
Sandhya Samavedam PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file

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