Abstract T P109: Discharge Disposition and Functional Status of Patients Suffering a Secondary Stroke Versus First Stroke

Background: Stroke recurrence is a consistent and independent predictor of disability, institutionalization and death, often resulting in a stepwise decline into dependency in stroke survivors. However, few reliable estimates of the long-term functional outcome after stroke are available. Objective: To compare discharge disposition (home with no services, home with home health, acute rehabilitation [ARU], skilled nursing facility [SNF], or hospice) and functional status measured using the Modified Rankin Scale (mRS), at hospital discharge, 30- and 90-day follow-up among patients with secondary vs. first stroke. Methods and Results: A retrospective analysis was conducted of 236 acute stroke patients- average age 75.9±13.7, male (49.6%), married (52%), Caucasian (82%), secondary stroke survivors (25.4%) admitted our hospital between June-December, 2012. A greater number of patients with first stroke were discharged home with no services (48.9% vs. 28.3%, p = .001) or to an ARU (21% vs. 15%, p = 0.001) where...