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Patient and hospital factors associated with 30-day unplanned readmission in patients with stroke

Authors
 Sang Ah Lee  ;  Eun-Cheol Park  ;  Jaeyong Shin  ;  Yeong Jun Ju  ;  Young Choi  ;  Hoo-Yeon Lee 
Citation
 Journal of Investigative Medicine, Vol.67(1) : 52-58, 2019 
Journal Title
 Journal of Investigative Medicine 
ISSN
 1081-5589 
Issue Date
2019
Keywords
stroke
Abstract
Stroke is frequently associated with readmission; moreover, readmission is regarded as an important indicator of the quality of stroke care. Thus, we investigated factors associated with 30-day readmission in patients with stroke in South Korea. We used claims data from 2013 for stroke (I60-I62) patients (n=44 729) in 94 hospitals and classified unplanned readmission according to the Centers for Medicare and Medicaid guidelines. We used multilevel models to investigate patient (age, gender, type of insurance, admission via emergency room, length of stay, type of stroke, Elixhauser Index Score) and hospital (stroke care quality grade, location of hospital, type of hospital, number of doctors and nurses per 100 beds) factors associated with readmission within 30 days of discharge. Among the 44 729 patients admitted due to stroke, 9.2% (n=4124) were readmitted to hospital and 7.6% (n=3379) had unplanned readmissions. Regarding patient characteristics, medical aid and longer hospital stay were associated with 30-day readmission rate. Among hospital factors, patients admitted to a low-grade hospital or a non-capital area hospital were more likely to be readmitted within 30 days of discharge. We identified patient and hospital factors associated with 30-day readmission among stroke patients. In particular, patients admitted to hospitals with higher quality stroke care showed lower readmission rates.
Full Text
https://jim.bmj.com/content/67/1/52.long
DOI
10.1136/jim-2018-000748
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
박은철(Park, Eun-Cheol) ORCID logo https://orcid.org/0000-0002-2306-5398
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167359
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