Association of seizure co-morbidity with early hospital readmission among traumatic brain injury patients
| Autor: | Michelle Kwon, Alain Lekoubou, Kinfe G. Bishu, Bruce Ovbiagele |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
030506 rehabilitation medicine.medical_specialty Traumatic brain injury Neuroscience (miscellaneous) Poison control Comorbidity Patient Readmission Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Risk Factors Seizures Brain Injuries Traumatic Injury prevention Developmental and Educational Psychology medicine Humans Retrospective Studies Hospital readmission business.industry Infant Newborn Human factors and ergonomics medicine.disease United States Emergency medicine Co morbidity Neurology (clinical) Morbidity 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Brain Injury. 34:1625-1629 |
| ISSN: | 1362-301X 0269-9052 |
| DOI: | 10.1080/02699052.2020.1825808 |
| Popis: | To assess the frequency of seizure co-morbidity and its independent association with 30-day readmission rate among patients hospitalized with traumatic brain injury (TBI) in the United States.The data source was the 2014 Nationwide Readmission Database. We included adults (Age ≥18 years) with a primary discharge diagnosis of TBI, identified using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 800.0, 801.9, 803.0, 804.9, 850.0-854.1, and 959.01. Seizures were diagnosed using the ICD-9-CM codes of 345.x and 780.39. Overall and across pre-specified groups 30-readmission rate was computed. Logistic regression analysis was used to identify independent predictors of 30-day readmission.Among 76,062 unweighted adults discharged with a diagnosis of TBI, 7,776 (10.14%) had a secondary discharge diagnosis of seizures.A total of 1,751 (2.3%) patients with a primary discharge diagnosis of TBI were readmitted within 30 days. On multivariate logistic analysis, patients discharged with a secondary diagnosis of seizures were 18% more likely to be readmitted within 30 days compared to those without seizures (OR 1.18, 95% CI: 1.01-1.39,One in 10 patients hospitalized with TBI in the US have a co-morbid seizure disorder. Seizure co-morbidity conferred 18% greater odds of being readmitted within 30 days. |
| Databáze: | OpenAIRE |
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