Survey on Factors Considered at Discharge by Physicians in Stroke Units in Argentina
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Abstract
Introduction
Patients receiving care in stroke units are more likely to survive their stroke, become independent, and return home. Discharge decision-making is more influenced by nonclinical factors than clinical factors. This study aimed to analyze the factors considered in discharge decisions and how stroke patients are assessed by physicians who make decisions in stroke units in Argentina.
Materials and methods
An observational, analytical, cross-sectional survey study was conducted. The recommendations provided by the Checklist for Reporting of Survey Studies were used. The survey was addressed to all physicians in Argentina who work in stroke units and who influence discharge decisions.
Results
Eighty-two physicians completed the survey. The majority of them practice in Buenos Aires (CABA) (42.68%), followed by Buenos Aires (26.82%), and Córdoba (8.53%). The main predictors of hospital discharge considered were function prior to the stroke (96.34%), living conditions (92.68%), and comorbidities (86.58%). 68.29% indicated they receive pressure to be discharged.
Conclusion
The majority of respondents mentioned that they consider almost all prognostic factors when making a referral, except for sex. Furthermore, a large part of the sample reported receiving pressure to discharge.
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References
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