Stroke patients transferred to discharge planning wards show no deterioration
Abstract
Aim
Stroke is a leading cause of disability in the UK, with many patients requiring inpatient rehabilitation prior to discharge. Discharge planning wards have been proposed as a strategy to enhance patient flow from specialised rehabilitation units; however, evidence regarding their safety and impact on functional outcomes remains limited. We aim to evaluate the clinical safety and functional outcomes of stroke patients transferred from a specialised inpatient rehabilitation unit to a discharge planning ward.
Methods
A retrospective review of electronic medical records was conducted for all patients transferred from the stroke rehabilitation unit at Chapel Allerton Hospital, Leeds to a discharge planning ward within the Leeds Teaching Hospitals NHS Trust between 1st December 2022 and 1st February 2025. Data collected included patient demographics, stroke type, mobility and transfer status, modified Rankin Scale (mRS) scores at transfer and discharge, discharge destination, and incidence of new medical issues.
Results
A total of 27 patients were identified, with 22 (81%) experiencing ischaemic strokes and 5 (19%) haemorrhagic strokes. The average length of stay on the discharge planning ward was 13 days. Following transfer, 14 patients were discharged home, while 13 were discharged to care facilities. No deterioration in modified Rankin Scale (mRS) scores or mobility was observed; 3 (11%) showed improvement in mRS, and 5 (19%) demonstrated enhanced mobility. Minor medical issues occurred in 6 (22%) patients, all of which were effectively managed without the need for escalation of care.
Discussion
Transferring stroke patients from specialised inpatient rehabilitation units to discharge planning wards is safe and does not compromise functional outcomes. Discharge planning wards represent a viable transitional model to optimise patient flow, alleviate pressure on rehabilitation units, and support efficient discharge planning in stroke care.
