Hospital readmission within 10 years post stroke: frequency, type and timing
Abstract Background The aim of this study was to examine the hospital readmissions in a 10 year follow-up of a stroke cohort previously studied for acute and subacute complications and to focus on their frequency, their causes and their timing. Methods The hospital records of 243 patients, 50% of a...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | BMC Neurology |
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| Online Access: | http://link.springer.com/article/10.1186/s12883-017-0897-z |
| _version_ | 1818571563976359936 |
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| author | Gitta Rohweder Øyvind Salvesen Hanne Ellekjær Bent Indredavik |
| author_facet | Gitta Rohweder Øyvind Salvesen Hanne Ellekjær Bent Indredavik |
| author_sort | Gitta Rohweder |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to examine the hospital readmissions in a 10 year follow-up of a stroke cohort previously studied for acute and subacute complications and to focus on their frequency, their causes and their timing. Methods The hospital records of 243 patients, 50% of a cohort of 489 patients acutely and consecutively admitted to our stroke unit in 2002/3, were subjected to review 10 years after the incidental stroke and all acute admissions were examined. The main admitting diagnoses were attributed to one of 18 predefined categories of illness. Additionally, the occurrence of death was registered. Results After 10 years 68.9% of patients had died and 72.4% had been readmitted to the hospital with a mean number of readmissions of 3.4 (+15.1 SD). 20% of the readmissions were due to a vascular cause, 17.3% were caused by infection, 9.3% by falls with (6.1%) and without fracture, 5.7% by a hemorrhagic event. The readmission rate was highest in the first 6 months post stroke with a rate of 116.2 admissions/100 live patient-years. Falls with fractures occurred maximally 3–5 years post stroke. Conclusions Hospital readmissions over the 10 years following stroke are caused by vascular events, infections, falls and hemorrhagic events, where the first 6 months are a period of particular vulnerability. The magnitude and the spectrum of these long-term complications suggest the need for a more comprehensive approach to post stroke prophylaxis. |
| first_indexed | 2024-12-14T13:57:40Z |
| format | Article |
| id | doaj.art-6e128f348723488a9f460cb5f4b20a0a |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-14T13:57:40Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-6e128f348723488a9f460cb5f4b20a0a2022-12-21T22:58:48ZengBMCBMC Neurology1471-23772017-06-011711610.1186/s12883-017-0897-zHospital readmission within 10 years post stroke: frequency, type and timingGitta Rohweder0Øyvind Salvesen1Hanne Ellekjær2Bent Indredavik3From the Stroke Unit, Department of Internal Medicine, St Olav’s Hospital, University Hospital of TrondheimThe Unit of Applied Clinical Research, Faculty of Medicine and Health Sciences, Norwegian University of Science And Technology (NTNU)From the Stroke Unit, Department of Internal Medicine, St Olav’s Hospital, University Hospital of TrondheimFrom the Stroke Unit, Department of Internal Medicine, St Olav’s Hospital, University Hospital of TrondheimAbstract Background The aim of this study was to examine the hospital readmissions in a 10 year follow-up of a stroke cohort previously studied for acute and subacute complications and to focus on their frequency, their causes and their timing. Methods The hospital records of 243 patients, 50% of a cohort of 489 patients acutely and consecutively admitted to our stroke unit in 2002/3, were subjected to review 10 years after the incidental stroke and all acute admissions were examined. The main admitting diagnoses were attributed to one of 18 predefined categories of illness. Additionally, the occurrence of death was registered. Results After 10 years 68.9% of patients had died and 72.4% had been readmitted to the hospital with a mean number of readmissions of 3.4 (+15.1 SD). 20% of the readmissions were due to a vascular cause, 17.3% were caused by infection, 9.3% by falls with (6.1%) and without fracture, 5.7% by a hemorrhagic event. The readmission rate was highest in the first 6 months post stroke with a rate of 116.2 admissions/100 live patient-years. Falls with fractures occurred maximally 3–5 years post stroke. Conclusions Hospital readmissions over the 10 years following stroke are caused by vascular events, infections, falls and hemorrhagic events, where the first 6 months are a period of particular vulnerability. The magnitude and the spectrum of these long-term complications suggest the need for a more comprehensive approach to post stroke prophylaxis.http://link.springer.com/article/10.1186/s12883-017-0897-zStrokeReadmissionReadmission rateLongterm follow-upSecondary prophylaxis |
| spellingShingle | Gitta Rohweder Øyvind Salvesen Hanne Ellekjær Bent Indredavik Hospital readmission within 10 years post stroke: frequency, type and timing BMC Neurology Stroke Readmission Readmission rate Longterm follow-up Secondary prophylaxis |
| title | Hospital readmission within 10 years post stroke: frequency, type and timing |
| title_full | Hospital readmission within 10 years post stroke: frequency, type and timing |
| title_fullStr | Hospital readmission within 10 years post stroke: frequency, type and timing |
| title_full_unstemmed | Hospital readmission within 10 years post stroke: frequency, type and timing |
| title_short | Hospital readmission within 10 years post stroke: frequency, type and timing |
| title_sort | hospital readmission within 10 years post stroke frequency type and timing |
| topic | Stroke Readmission Readmission rate Longterm follow-up Secondary prophylaxis |
| url | http://link.springer.com/article/10.1186/s12883-017-0897-z |
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