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HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT
OBJECTIVE: To examine the prevalence and risk factors for readmission after inpatient rehabilitation in stroke survivors, in a developed multi-ethnic Southeast Asian country. METHODS: A retrospective cohort study of 1,235 stroke survivors who completed inpatient rehabilitation in a tertiary rehabili...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Foundation for Rehabilitation Information
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814857/ https://www.ncbi.nlm.nih.gov/pubmed/34096610 http://dx.doi.org/10.2340/16501977-2849 |
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author | TAY, Matthew Rong Jie |
author_facet | TAY, Matthew Rong Jie |
author_sort | TAY, Matthew Rong Jie |
collection | PubMed |
description | OBJECTIVE: To examine the prevalence and risk factors for readmission after inpatient rehabilitation in stroke survivors, in a developed multi-ethnic Southeast Asian country. METHODS: A retrospective cohort study of 1,235 stroke survivors who completed inpatient rehabilitation in a tertiary rehabilitation centre. RESULTS: A total of 296 (24.0%) patients with stroke were readmitted within the first year, and 87 (7.0%) patients were readmitted 1–3 years after stroke. Significant risk factors for readmission of patients in the first year post-stroke were older age (p = 0.027), lower admission Functional Independence Measure (FIM) motor (p = 0.001) and cognition scores (p = 0.025), a Charlson Comorbidity Index (CCI) ≥1 (p < 0.001) and the presence of at least one medical complication during initial hospitalization (p < 0.001), while FIM gain was found to be protective (p < 0.001). Looking at readmission after 1 year post-stroke, a CCI ≥1 (p < 0.001) and the presence of medical complications during initial hospitalization (p < 0.001) were risk factors for readmission, while FIM gain (p = 0.001) was protective. Common causes for readmission include recurrent stroke and falls. CONCLUSION: There is a high readmission rate in stroke survivors, even after the first year post-stroke. Interventions, such as fall risk assessments, vaccinations, meticulous catheter care, intensified secondary risk factors interventions and continued post-discharge rehabilitation, may hold promise for reducing readmission rates. |
format | Online Article Text |
id | pubmed-8814857 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Foundation for Rehabilitation Information |
record_format | MEDLINE/PubMed |
spelling | pubmed-88148572022-02-08 HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT TAY, Matthew Rong Jie J Rehabil Med Original Report OBJECTIVE: To examine the prevalence and risk factors for readmission after inpatient rehabilitation in stroke survivors, in a developed multi-ethnic Southeast Asian country. METHODS: A retrospective cohort study of 1,235 stroke survivors who completed inpatient rehabilitation in a tertiary rehabilitation centre. RESULTS: A total of 296 (24.0%) patients with stroke were readmitted within the first year, and 87 (7.0%) patients were readmitted 1–3 years after stroke. Significant risk factors for readmission of patients in the first year post-stroke were older age (p = 0.027), lower admission Functional Independence Measure (FIM) motor (p = 0.001) and cognition scores (p = 0.025), a Charlson Comorbidity Index (CCI) ≥1 (p < 0.001) and the presence of at least one medical complication during initial hospitalization (p < 0.001), while FIM gain was found to be protective (p < 0.001). Looking at readmission after 1 year post-stroke, a CCI ≥1 (p < 0.001) and the presence of medical complications during initial hospitalization (p < 0.001) were risk factors for readmission, while FIM gain (p = 0.001) was protective. Common causes for readmission include recurrent stroke and falls. CONCLUSION: There is a high readmission rate in stroke survivors, even after the first year post-stroke. Interventions, such as fall risk assessments, vaccinations, meticulous catheter care, intensified secondary risk factors interventions and continued post-discharge rehabilitation, may hold promise for reducing readmission rates. Foundation for Rehabilitation Information 2021-06-07 /pmc/articles/PMC8814857/ /pubmed/34096610 http://dx.doi.org/10.2340/16501977-2849 Text en © 2021 Journal of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Report TAY, Matthew Rong Jie HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title | HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title_full | HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title_fullStr | HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title_full_unstemmed | HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title_short | HOSPITAL READMISSION IN STROKE SURVIVORS ONE YEAR VERSUS THREE YEARS AFTER DISCHARGE FROM INPATIENT REHABILITATION: PREVALENCE AND ASSOCIATIONS IN AN ASIAN COHORT |
title_sort | hospital readmission in stroke survivors one year versus three years after discharge from inpatient rehabilitation: prevalence and associations in an asian cohort |
topic | Original Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814857/ https://www.ncbi.nlm.nih.gov/pubmed/34096610 http://dx.doi.org/10.2340/16501977-2849 |
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