Systematic review of hospital readmissions in stroke patients
File(s)
Accepted version
Published version
Author(s)
Rao, AM
Barrow, E
Vuik, S
Darzi, A
Aylin, P
Type
Journal Article
Abstract
Background
Previous evidence on factors and causes of readmissions associated with high-impact users of stroke is scanty. The aim of the study was to investigate common causes and pattern of short- and long-term readmissions stroke patients by conducting a systematic review of studies using hospital administrative data. Common risk factors associated with the change of readmission rate were also examined.
Methods
The literature search was conducted from 15th February to 15th March 2016 using various databases, such as Medline, Embase, and Web of Science.
Results
There were total of 24 studies (n=2,126,617) included in the review. Only 4 studies assessed causes of readmissions in stroke patients with the follow-up duration from 30 days to 5 years. Common causes of readmissions in majority of the studies were recurrent stroke, infections and cardiac conditions. Common patient-related risk factors associated with increased readmission rate were age and history of coronary heart disease, heart failure, renal disease, respiratory disease, peripheral arterial disease and diabetes. Among stroke-related factors, length of stay of index stroke admission was associated with increased readmission rate, followed by bowel incontinence, feeding tube and urinary catheter.
Conclusion
Although risk factors and common causes of readmission were identified, but none of the previous studies investigated causes and their sequence of readmissions among high-impact stroke users.
Previous evidence on factors and causes of readmissions associated with high-impact users of stroke is scanty. The aim of the study was to investigate common causes and pattern of short- and long-term readmissions stroke patients by conducting a systematic review of studies using hospital administrative data. Common risk factors associated with the change of readmission rate were also examined.
Methods
The literature search was conducted from 15th February to 15th March 2016 using various databases, such as Medline, Embase, and Web of Science.
Results
There were total of 24 studies (n=2,126,617) included in the review. Only 4 studies assessed causes of readmissions in stroke patients with the follow-up duration from 30 days to 5 years. Common causes of readmissions in majority of the studies were recurrent stroke, infections and cardiac conditions. Common patient-related risk factors associated with increased readmission rate were age and history of coronary heart disease, heart failure, renal disease, respiratory disease, peripheral arterial disease and diabetes. Among stroke-related factors, length of stay of index stroke admission was associated with increased readmission rate, followed by bowel incontinence, feeding tube and urinary catheter.
Conclusion
Although risk factors and common causes of readmission were identified, but none of the previous studies investigated causes and their sequence of readmissions among high-impact stroke users.
Date Issued
2016-09-07
Date Acceptance
2016-08-08
Citation
Stroke Research and Treatment, 2016, 2016
ISSN
2090-8105
Publisher
Hindawi Publishing Corporation
Journal / Book Title
Stroke Research and Treatment
Volume
2016
Copyright Statement
Copyright © 2016 Ahsan Rao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Publication Status
Published
Article Number
9325368
Date Publish Online
2016-09-07