Long-Term Trends in Stroke Survivors Discharged to Care Homes: The South London Stroke Register

Clery, Amanda; Bhalla, Ajay; Bisquera, Alessandra; Skolarus, Lesli E.; Marshall, Iain; McKevitt, Christopher; Rudd, Anthony; Sackley, Catherine; Martin, Finbarr C.; Manthorpe, Jill; Wolfe, Charles; Wang, Yanzhong

Abstract

Background and Purpose—

Care homes provide care to many stroke survivors, yet little is known about changes in care home use over time. We aim to determine trends in discharge to care homes, to explore the characteristics of stroke survivors over time (1995–2018), and to identify the associations between these characteristics and discharge to care homes poststroke.

Methods—

Using data from the South London Stroke Register between 1995 and 2018, we estimated the proportions discharged to care homes and their characteristics over time, assessed by tests for trends. Multivariable logistic regression models were built to assess the associations between their characteristics and discharge destination.

Results—

Of 4172 stroke survivors, 484 (12%) were discharged to care homes. This proportion has decreased from 24% in 1995 to 2000 to 5% in 2013 to 2018. The mean age of those discharged to care homes has increased over time, from 73 to 75 (P

Citation

Clery, A., Bhalla, A., Bisquera, A., Skolarus, L. E., Marshall, I., McKevitt, C., Rudd, A., Sackley, C., Martin, F. C., Manthorpe, J., Wolfe, C., & Wang, Y. (2020). Long-Term Trends in Stroke Survivors Discharged to Care Homes: The South London Stroke Register. Stroke, 51(1), 179-185. https://doi.org/10.1161/strokeaha.119.026618

• Journal Article Type: Article
• Acceptance Date: Oct 2, 2019
• Online Publication Date: Nov 6, 2019
• Publication Date: 2020-01
• Deposit Date: Nov 12, 2020
• Publicly Available Date: Nov 12, 2020
• Journal: Stroke
• Print ISSN: 0039-2499
• Electronic ISSN: 1524-4628
• Publisher: American Heart Association
• Peer Reviewed: Peer Reviewed
• Volume: 51
• Issue: 1
• Pages: 179-185
• DOI: https://doi.org/10.1161/strokeaha.119.026618
• Keywords: Advanced and Specialised Nursing; Clinical Neurology; Cardiology and Cardiovascular Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/5037079
• Publisher URL: https://www.ahajournals.org/doi/10.1161/STROKEAHA.119.026618