Functional Changes and Home Discharge After Inpatient Stroke Rehabilitation

NCT07502326 | Completed

• 1 other identifier: P01-202512-01-054
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

This retrospective observational study will evaluate whether changes in functional status during inpatient rehabilitation are associated with discharge destination in patients with stroke treated at a post-acute rehabilitation hospital. The study will use de-identified electronic medical record data from adult patients with stroke who were admitted to Zenith Hospital and discharged between January 1, 2024 and March 31, 2025. Integrated rehabilitation functional assessment data obtained at admission and discharge will be analyzed, including the Korean Modified Barthel Index (K-MBI), Functional Ambulation Category (FAC), Berg Balance Scale (BBS), Mini-Mental State Examination (MMSE), and Manual Function Test (MFT). The main objective is to determine whether changes in these measures during hospitalization are associated with discharge destination, defined as home discharge versus transfer to another institution. Approximately 150 eligible patients are expected to be included. Only existing de-identified EMR data will be used. No direct participant contact, additional data collection, or protocol-assigned intervention will occur. Findings from this study may provide evidence to support discharge planning and community reintegration strategies for patients with stroke receiving post-acute rehabilitation.

Conditions

Stroke; Cerebrovascular Disease

Keywords

Post-Acute Rehabilitation; Discharge Destination; Home Discharge; Electronic Medical Record; Functional Recovery; Korean Modified Barthel Index; Functional Ambulation Category; Berg Balance Scale; Mini-Mental State Examination; Manual Function Test

Outcome Measures

Primary Outcomes (1)

• Discharge Destination

  Discharge destination assessed at discharge from inpatient rehabilitation, categorized as home discharge or transfer to another institution.

  At discharge from inpatient rehabilitation, up to 15 months after admission

Secondary Outcomes (5)

• Change in Korean Modified Barthel Index (K-MBI) score

  From admission to discharge from inpatient rehabilitation, up to 15 months

• Change in Functional Ambulation Category (FAC) score

  From admission to discharge from inpatient rehabilitation, up to 15 months

• Change in Berg Balance Scale (BBS) score

  From admission to discharge from inpatient rehabilitation, up to 15 months

• Change in Mini-Mental State Examination (MMSE) score

  From admission to discharge from inpatient rehabilitation, up to 15 months

• Change in Manual Function Test (MFT) score

  From admission to discharge from inpatient rehabilitation, up to 15 months

Study Arms (2)

Home Discharge

Patients with stroke who were discharged to home after inpatient rehabilitation.

Other: Inpatient Rehabilitation

Transfer to Another Institution

Patients with stroke who were transferred to another institution after inpatient rehabilitation.

Other: Inpatient Rehabilitation

Interventions

Inpatient Rehabilitation OTHER

Usual inpatient rehabilitation received during admission as part of routine clinical care. No intervention was assigned by the study protocol.

Home Discharge; Transfer to Another Institution

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients with stroke who were admitted to the post-acute rehabilitation ward at Zenith Hospital and discharged between January 1, 2024 and March 31, 2025, with de-identified electronic medical record data available for integrated rehabilitation functional assessments at both admission and discharge.

You may qualify if:

• Adults aged 19 years or older
• Patients with stroke who were admitted to and discharged from the post-acute rehabilitation ward at Zenith Hospital between January 1, 2024 and March 31, 2025
• Patients with integrated rehabilitation functional assessment data recorded in the electronic medical record at both admission and discharge, including Korean Modified Barthel Index (K-MBI), Functional Ambulation Category (FAC), Berg Balance Scale (BBS), Mini-Mental State Examination (MMSE), and Manual Function Test (MFT)

You may not qualify if:

• Missing admission or discharge functional assessment data
• Patients with terminal illnesses that made rehabilitation treatment infeasible, such as advanced cancer or end-stage heart failure
• In-hospital death or transfer before discharge assessment, resulting in no discharge functional assessment data
• Insufficient electronic medical record data for the study analysis

Sponsors & Collaborators

• SeongKi Min: lead

Study Sites (1)

Zenith Hospital

Seoul, South Korea

Location

MeSH Terms

Conditions

Stroke; Cerebrovascular Disorders

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Rehabilitation Medicine Specialist

Study Record Dates

• First Submitted: March 8, 2026
• First Posted: March 31, 2026
• Study Start: January 1, 2024
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: March 31, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)