{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:21:57Z","timestamp":1787862117556,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T00:00:00Z","timestamp":1727222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006937","name":"National Center for Medical Rehabilitation Research","doi-asserted-by":"publisher","award":["P2CHD065702"],"award-info":[{"award-number":["P2CHD065702"]}],"id":[{"id":"10.13039\/100006937","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study investigated the association between stroke severity, functional status measured by the Inpatient Rehabilitation Facility\u2010Patient Assessment Instrument (IRF\u2010PAI), and community discharge from IRF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Aim one examined the association between National Institutes of Health Stroke Scale (NIHSS) scores measured during the acute care stay and IRF admission functional status, measured by the admission IRF\u2010PAI self\u2010care and mobility functional measures, to deduce if functional measures can serve as a proxy for stroke severity. Aim two investigated the ability of the NIHSS and IRF\u2010PAI admission functional measures to predict community discharge from IRF after stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study using electronic health records and Uniform Data System. Medical Record file data from January 1, 2018, to December 30, 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic hospital\u2010based IRF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Five hundred forty\u2010four patients transferred from acute care hospital to IRF after an ischemic or hemorrhagic stroke. Exclusion criteria included a transient ischemic attack, discharge against medical advice, death during IRF stay, or readmission to acute care within 48\u2009hours\u00a0of IRF admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Admission IRF\u2010PAI self\u2010care and mobility scores and discharge status from IRF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 544 patients, 76.7% had community discharge. NIHSS scores were significantly associated with IRF\u2010PAI admission self\u2010care scores across each NIHSS stroke category. There was no statistically significant association between NIHSS and IRF\u2010PAI admission mobility score. IRF admission self\u2010care and mobility scores were each statistically significant predictors of community discharge (odds ratio [OR]\u2009=\u20091.10, 95% confidence interval [CI]: 1.03\u20131.17; OR\u2009=\u20091.10, CI: 1.03\u20131.18, respectively). NIHSS scores were not a statistically significant predictor of community discharge (OR\u2009=\u20090.70, CI: 0.47\u20131.04) from IRF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IRF\u2010PAI self\u2010care functional measure is associated with the NIHSS and can serve as a proxy for stroke severity. IRF\u2010PAI self\u2010care and mobility measures each predict community discharge.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13266","type":"journal-article","created":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T10:41:43Z","timestamp":1727260903000},"page":"522-528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Role of inpatient rehabilitation facility functional measures to predict community discharge after stroke"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8976-1970","authenticated-orcid":false,"given":"Elizabeth","family":"Mangone","sequence":"first","affiliation":[{"name":"Department of Medicine University of Arizona College of Medicine\u2010Phoenix  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eashan","family":"Shahriary","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Arizona College of Medicine\u2010Phoenix  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Bosch","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Arizona College of Medicine\u2010Phoenix  Phoenix Arizona USA"},{"name":"Department of Physical Therapy and Athletic Training, College of Health and Human Services Northern Arizona University, Phoenix Bioscience Core  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000659"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000441139.02102.80"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.16646"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1852616"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000221172.99375.5a"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.09.005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2022.01.147"},{"key":"e_1_2_9_9_1","article-title":"Inpatient rehabilitation facility prospective payment system for federal fiscal year 2016","volume":"80","author":"Program M","year":"2015","journal-title":"Fed Reg"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/npt.0000000000000211"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2013.12.008"},{"key":"e_1_2_9_12_1","unstructured":"Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation.Claims\u2010Based and Hybrid Measures of 30\u2010Day Mortality Following Acute Ischemic Stroke Hospitalization Incorporating Risk Adjustment for Stroke Severity. 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