Summary

What is known?
  • Early prediction of discharge destination informs the planning of patient care.

  • Pre-stroke disability and stroke severity have face validity as predictors of discharge destination.

What is the question?
  • What is the contribution of pre-stroke disability rather than stroke severity in determining discharge destination?

  • Can pre-stroke disability and stroke severity be used to develop an accurate model for predicting discharge destination?

What was found?
  • When used alone, pre-morbid mRS is the strongest predictor for discharge destination.

  • Used alone, the NIHSS is not predictive of discharge destination.

  • Pre-morbid mRS, NIHSS, age and gender can be combined to make a model for predicting discharge destination.

What is the implication for practice now?
  • We have provided clinicians with a predictive tool for use as an adjunct in the discharge planning process.

  • Clinicians should pay particular attention to pre-morbid mRS when considering discharge destination.

  • Stroke severity should not be used as a standalone predictor of discharge destination.