Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality
Patient readmission for ischemic stroke significantly strains the healthcare and medical insurance systems. Current understanding of the risk factors associated with these readmissions, as well as their subsequent impact on mortality within China, remains insufficient. This is particularly evident i...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-03-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580241241271 |
| _version_ | 1797242693840011264 |
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| author | Chuang Liu PhD Li Luo PhD Xiaozhou He PhD Tao Wang PhD Xiaofei Liu MD Yiyou Liu BNS |
| author_facet | Chuang Liu PhD Li Luo PhD Xiaozhou He PhD Tao Wang PhD Xiaofei Liu MD Yiyou Liu BNS |
| author_sort | Chuang Liu PhD |
| collection | DOAJ |
| description | Patient readmission for ischemic stroke significantly strains the healthcare and medical insurance systems. Current understanding of the risk factors associated with these readmissions, as well as their subsequent impact on mortality within China, remains insufficient. This is particularly evident in the context of comprehensive, contemporary population studies. This 4-year retrospective cohort study included 125 397 hospital admissions for ischemic stroke from 838 hospitals located in 22 regions (13 urban and 9 rural) of a major city in western China, between January 1, 2015 and December 31, 2018. The Chi-square tests were used in univariate analysis. Accounting for intra-subject correlations of patients’ readmissions, accelerated failure time (AFT) shared frailty models were used to examine readmission events and pure AFT models for mortality. Risk factors for patient readmission after ischemic stroke include frequent admission history, male gender, employee’s insurance, advanced age, residence in urban areas, index hospitalization in low-level hospitals, extended length of stay (LOS) during index hospitalization, specific comorbidities and subtypes of ischemic stroke. Furthermore, our findings indicated that an additional admission for ischemic stroke increased patient mortality by 16.4% ( P < .001). Stroke readmission contributed to an increased risk of hospital mortality. Policymakers can establish more effective and targeted policies to reduce readmissions for stroke by controlling these risk factors. |
| first_indexed | 2024-04-24T18:43:17Z |
| format | Article |
| id | doaj.art-86c45ce9d6f549aa89def4930eb2dfd2 |
| institution | Directory Open Access Journal |
| issn | 0046-9580 1945-7243 |
| language | English |
| last_indexed | 2024-04-24T18:43:17Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-86c45ce9d6f549aa89def4930eb2dfd22024-03-27T09:03:24ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432024-03-016110.1177/00469580241241271Patient Readmission for Ischemic Stroke: Risk Factors and Impact on MortalityChuang Liu PhD0Li Luo PhD1Xiaozhou He PhD2Tao Wang PhD3Xiaofei Liu MD4Yiyou Liu BNS5Business School, Sichuan University, Chengdu, Sichuan, ChinaBusiness School, Sichuan University, Chengdu, Sichuan, ChinaBusiness School, Sichuan University, Chengdu, Sichuan, ChinaBusiness School, Sichuan University, Chengdu, Sichuan, ChinaBusiness School, Sichuan University, Chengdu, Sichuan, ChinaSichuan Nursing Vocational College, Chengdu, Sichuan, ChinaPatient readmission for ischemic stroke significantly strains the healthcare and medical insurance systems. Current understanding of the risk factors associated with these readmissions, as well as their subsequent impact on mortality within China, remains insufficient. This is particularly evident in the context of comprehensive, contemporary population studies. This 4-year retrospective cohort study included 125 397 hospital admissions for ischemic stroke from 838 hospitals located in 22 regions (13 urban and 9 rural) of a major city in western China, between January 1, 2015 and December 31, 2018. The Chi-square tests were used in univariate analysis. Accounting for intra-subject correlations of patients’ readmissions, accelerated failure time (AFT) shared frailty models were used to examine readmission events and pure AFT models for mortality. Risk factors for patient readmission after ischemic stroke include frequent admission history, male gender, employee’s insurance, advanced age, residence in urban areas, index hospitalization in low-level hospitals, extended length of stay (LOS) during index hospitalization, specific comorbidities and subtypes of ischemic stroke. Furthermore, our findings indicated that an additional admission for ischemic stroke increased patient mortality by 16.4% ( P < .001). Stroke readmission contributed to an increased risk of hospital mortality. Policymakers can establish more effective and targeted policies to reduce readmissions for stroke by controlling these risk factors.https://doi.org/10.1177/00469580241241271 |
| spellingShingle | Chuang Liu PhD Li Luo PhD Xiaozhou He PhD Tao Wang PhD Xiaofei Liu MD Yiyou Liu BNS Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality |
| title_full | Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality |
| title_fullStr | Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality |
| title_full_unstemmed | Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality |
| title_short | Patient Readmission for Ischemic Stroke: Risk Factors and Impact on Mortality |
| title_sort | patient readmission for ischemic stroke risk factors and impact on mortality |
| url | https://doi.org/10.1177/00469580241241271 |
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