Hospital readmissions after spontaneous intracerebral hemorrhage in Southern Portugal
| Autor: | Jerina Nogueira, Pedro Abreu, Fátima Ferreira, Ana Marreiros, Nicola Logallo, Catarina Félix, Hipólito Nzwalo, Lars Thomassen, Patrícia Guilherme, Sara Ramalhete, Turgut Tatlisumak |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Pilot Projects 030204 cardiovascular system & hematology Patient Readmission Cohort Studies 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Unplanned readmission Humans Spontaneous intracerebral hemorrhage Aged Cerebral Hemorrhage Retrospective Studies Aged 80 and over Portugal Proportional hazards model business.industry Retrospective cohort study General Medicine After discharge Middle Aged humanities Emergency medicine Cohort Surgery Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Clinical neurology and neurosurgery. 169 |
| ISSN: | 1872-6968 |
| Popis: | Spontaneous intracerebral hemorrhage (SICH) survivors are at risk of hospital readmissions. Data on readmissions after SICH is scarce. We aimed to study the frequency and predictors of readmissions after SICH in Algarve, Portugal.Retrospective study of a community representative cohort of SICH survivors (2009-2015). The first unplanned readmission in the first year after discharge was the outcome. Cox regression analysis was performed to identify predictors of 1-year readmission.Of the 357 SICH survivors followed, 116 (32.5%) were readmitted within the first-year. Sixty-seven (18.8%) of the survivors were early readmitted (90 days), corresponding to 57.8% or all readmissions. Common causes were pneumonia, endocrine/nutritional/metabolic and cardiovascular complications. The risk of readmission was increased by prior to index SICH history of ≥ 3 previous emergency department visits (hazards ratio (HR) = 2.663 (1.770-4.007); P 0.001), pneumonia during index hospitalization (HR = 2.910 (1.844-4.592); P 0.001) and reduced in patients discharge home (HR = 0.681 (0.366-0.976); P = 0.048).The rate of readmissions after SICH is high, predictors are identifiable and causes are potentially preventable. Improvement of care can potentially reduce this burden. |
| Databáze: | OpenAIRE |
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