Kimberly Waddell: Mismatch in Post-Stroke Discharge Decisions Impacts Long-Term Recovery
Kimberly Waddell, Assistant Professor at University of Pennsylvania School of Medicine, shared on LinkedIn about a recent article she and her colleagues co-authored, published in Archives of Physical Medicine and Rehabilitation, adding:
”Where a person goes for rehabilitation after a stroke has significant implications for their long-term recovery.
Discharge placement from the acute hospital, however, is complex.
Our newly published study of 7,545 patients with stroke found that 15% of discharges mismatched the care team’s recommendations – nearly all going to a lower-intensity care setting.
The highest risk for these discrepant discharges occurred when patients:
- Discharged on a Sunday.
- Used Medicare (Traditional or Advantage).
- Lacked independent mobility prior to their stroke.
These findings suggest that systemic and logistical factors, not just clinical ones, impact the quality of post-stroke care transitions.
It is critical to include factors beyond clinical need in our evaluations of post-stroke care.”
Title: Factors Associated with Differences in the Recommended versus Actual Discharge Location After Stroke
Authors: Kimberly Waddell, Ruiqi Yan, Lin Xu, Stephen Hampton, Robert Burke, Rujula Upasani, Kiersten McCartney, M. Kit Delgado
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