Richard W Bohannon1, Nora Lee. 1. Institute of Outcomes Research and Evaluation, Hartford Hospital, Hartford, School of Allied Health, University of Connecticut, Storrs, CT, USA. rbohann@harthosp.org
Abstract
PURPOSE: The goal of this study of 326 patients surviving index hospitalization for stroke was to: 1) document deaths and readmissions and 2) describe the association of selected variables with these outcomes. METHODS: Stroke severity data were retrieved from our Stroke Center's database; demographics and information relevant to index and subsequent readmissions was garnered from the Hospital's administrative database. The Social Security Death Index was also used to investigate deaths. RESULTS: During the year following index admission for stroke, 32.5% were readmitted at least once, 15.6% died, and 39.6% were either readmitted or died. The diagnosis-related group associated most often with the first readmission was number 14 (specific cerebrovascular disorders except transient ischemic attach). Only index length of stay had a significant bivariate correlation (r = .138) with readmission. Age, National Institutes of Health Stroke Scale (NIHSS) score, index length of stay, and index discharge destination had significant bivariate correlations (r = .129-.231) with death and death or readmission. Regression analysis showed that a combination of the NIHSS score and index length of stay provided the strongest association with death (R2 = .094) and death or readmission (R2 = .099). CONCLUSIONS: Readmission and death are common during the first year after stroke. The initiation of secondary prevention strategies would appear to be highly warranted on the basis of these findings.
PURPOSE: The goal of this study of 326 patients surviving index hospitalization for stroke was to: 1) document deaths and readmissions and 2) describe the association of selected variables with these outcomes. METHODS:Stroke severity data were retrieved from our Stroke Center's database; demographics and information relevant to index and subsequent readmissions was garnered from the Hospital's administrative database. The Social Security Death Index was also used to investigate deaths. RESULTS: During the year following index admission for stroke, 32.5% were readmitted at least once, 15.6% died, and 39.6% were either readmitted or died. The diagnosis-related group associated most often with the first readmission was number 14 (specific cerebrovascular disorders except transient ischemic attach). Only index length of stay had a significant bivariate correlation (r = .138) with readmission. Age, National Institutes of Health Stroke Scale (NIHSS) score, index length of stay, and index discharge destination had significant bivariate correlations (r = .129-.231) with death and death or readmission. Regression analysis showed that a combination of the NIHSS score and index length of stay provided the strongest association with death (R2 = .094) and death or readmission (R2 = .099). CONCLUSIONS: Readmission and death are common during the first year after stroke. The initiation of secondary prevention strategies would appear to be highly warranted on the basis of these findings.
Authors: Jason R Falvey; Robert E Burke; Daniel Malone; Kyle J Ridgeway; Beth M McManus; Jennifer E Stevens-Lapsley Journal: Phys Ther Date: 2016-03-03
Authors: Judith H Lichtman; Erica C Leifheit-Limson; Sara B Jones; Emi Watanabe; Susannah M Bernheim; Michael S Phipps; Kanchana R Bhat; Shantal V Savage; Larry B Goldstein Journal: Stroke Date: 2010-10-07 Impact factor: 7.914
Authors: Shilpa Tyagi; Gerald C H Koh; Nan Luo; Kelvin B Tan; Helen Hoenig; David B Matchar; Joanne Yoong; Angelique Chan; Kim En Lee; N Venketasubramanian; Edward Menon; Kin Ming Chan; Deidre Anne De Silva; Philip Yap; Boon Yeow Tan; Effie Chew; Sherry H Young; Yee Sien Ng; Tian Ming Tu; Yan Hoon Ang; Keng He Kong; Rajinder Singh; Reshma A Merchant; Hui Meng Chang; Tseng Tsai Yeo; Chou Ning; Angela Cheong; Yu Li Ng; Chuen Seng Tan Journal: BMC Neurol Date: 2019-11-04 Impact factor: 2.474