Factors Affecting the Readmission of Patients with Stroke

World Neurosurg. 2024 Dec 17:123572. doi: 10.1016/j.wneu.2024.123572. Online ahead of print.

Abstract

Background: Incidence of stroke is increasing annually in China, the readmission rate of patients with stroke remains high.

Method: In total, 441 patients were enrolled in this study. We described the incidence of stroke readmissions. Furthermore, we used the Andersen-Gill (AD) model to explore the factors affecting all-cause readmission and cardio-cerebrovascular-related readmission of patients with stroke. Identification of these predictors can help reduce the readmission rate of patients with stroke.

Results: (1) In total, 441 patients with stroke were included. Among them, 163 (40%) had readmission records. Among them, 44 patients had readmission due to cardiovascular and cerebrovascular diseases, accounting for 10.70%. (2) The Modified Rankin Scale (mRs scale) score affected all-cause readmission of patients with stroke. Patients with stroke and a score of 5 were 5.46 times more likely to be readmitted than those with a score of 0 (HR=5.46, 95% CI: 1.59∼18.7, PPP CONCLUSION: The readmission of patients with stroke may be related to their physical activity function, chronic diseases, and socioeconomic status. When considering the factors predicting the re-admission of patients with stroke, we cannot blindly draw on the results of relevant foreign studies.

Keywords: Cardio-cerebrovascular readmissions; Influence factor; Readmission for any cause; Stroke.