Association of Caregiver Availability and Training With Patient Community Discharge After Stroke

Pamela R. Bosch, Dawn Barr, Indrakshi Roy, Maximillian Fabricant, Audrey Mann, Elizabeth Mangone, Amol Karmarkar, Amit Kumar

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Objective: To examine the association between committed caregivers and caregiver training with community discharge from inpatient rehabilitation after a stroke. Design: Secondary analysis of data extracted from electronic health records linked with the Uniform Data System for Medical Rehabilitation. Setting: Three hospital-based inpatient rehabilitation facilities (IRF) in a major metropolitan area. Participants: 1397 adult patients (mean ± SD age: 69.4 [13.5]; 724 men) transferred from an acute care setting to inpatient rehabilitation after an ischemic or hemorrhagic stroke (N=1397). Intervention: None. Main Outcome Measure: Community discharge from IRF. Results: 82.4% of patients had caregivers, 63.4% of patient caregivers received training at the IRF, and 79.5% had community discharge. After adjusting for age, stroke severity, functional status, and other social risk factors, having a committed caregiver and caregiver training were significantly associated with community discharge (odds ratio [OR]=7.80, 95% confidence interval [CI]: 5.03-12.10 and OR=4.89, 95% CI: 3.16-7.57, respectively). Conclusion: Caregivers increase a patient's likelihood of discharge from IRF; the added benefit of caregiver training needs to be further assessed, with essential elements prioritized prior to patients’ IRF discharge.

Original languageEnglish (US)
Article number100251
JournalArchives of Rehabilitation Research and Clinical Translation
Issue number1
StatePublished - Mar 2023


  • Caregivers
  • Rehabilitation
  • Risk factors
  • Social determinants of health
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation


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