Show simple item record

dc.contributor.authorKilkenny, MF
dc.contributor.authorDalli, LL
dc.contributor.authorKim, J
dc.contributor.authorSundararajan, V
dc.contributor.authorAndrew, NE
dc.contributor.authorDewey, HM
dc.contributor.authorJohnston, T
dc.contributor.authorAlif, SM
dc.contributor.authorLindley, RI
dc.contributor.authorJude, M
dc.contributor.authorBlacker, D
dc.contributor.authorGange, N
dc.contributor.authorGrimley, R
dc.contributor.authorKatzenellenbogen, JM
dc.contributor.authoret al.
dc.date.accessioned2020-07-21T04:29:55Z
dc.date.available2020-07-21T04:29:55Z
dc.date.issued2020
dc.identifier.issn0039-2499
dc.identifier.doi10.1161/STROKEAHA.119.026133
dc.identifier.urihttp://hdl.handle.net/10072/395677
dc.description.abstractBackground and Purpose-Readmissions after stroke are common and appear to be associated with comorbidities or disability-related characteristics. In this study, we aimed to determine the patient and health-system level factors associated with all-cause and unplanned hospital readmission within 90 days after acute stroke or transient ischemic attack (TIA) in Australia. Methods-We used person-level linkages between data from the Australian Stroke Clinical Registry (2009-2013), hospital admissions data and national death registrations from 4 Australian states. Time to first readmission (all-cause or unplanned) for discharged patients was examined within 30, 90, and 365 days, using competing risks regression to account for deaths postdischarge. Covariates included age, stroke severity (ability to walk on admission), stroke type, admissions before stroke/TIA and the Charlson Comorbidity Index (derived from International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, [Australian modified] coded hospital data in the preceding 5 years). Results-Among the 13 594 patients discharged following stroke/TIA (45% female; 65% ischemic stroke; 11% intracerebral hemorrhage; 4% undetermined stroke; and 20% TIA), 25% had an all-cause readmission and 15% had an unplanned readmission within 90 days. In multivariable analyses, the factors independently associated with a greater risk of unplanned readmission within 90 days were being female (subhazard ratio, 1.13 [95% CI, 1.03-1.24]), greater Charlson Comorbidity Index scores (subhazard ratio, 1.11 [95% CI, 1.09-1.12]) and having an admission ≤90 days before the index event (subhazard ratio, 1.85 [95% CI, 1.59-2.15]). Compared with being discharged to rehabilitation or aged care, those who were discharged directly home were more likely to have an unplanned readmission within 90 days (subhazard ratio, 1.44 [95% CI, 1.33-1.55]). These factors were similar for readmissions within 30 and 365 days. Conclusions-Apart from comorbidities and patient-level characteristics, readmissions after stroke/TIA were associated with discharge destination. Greater support for transition to home after stroke/TIA may be needed to reduce unplanned readmissions.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.relation.ispartofpagefrom571
dc.relation.ispartofpageto578
dc.relation.ispartofissue2
dc.relation.ispartofjournalStroke
dc.relation.ispartofvolume51
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3209
dc.subject.keywordscomorbidity
dc.subject.keywordshealth
dc.subject.keywordshospitals
dc.subject.keywordspopulation
dc.subject.keywordsrehabilitation
dc.titleFactors Associated with 90-Day Readmission after Stroke or Transient Ischemic Attack: Linked Data from the Australian Stroke Clinical Registry
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKilkenny, MF; Dalli, LL; Kim, J; Sundararajan, V; Andrew, NE; Dewey, HM; Johnston, T; Alif, SM; Lindley, RI; Jude, M; Blacker, D; Gange, N; Grimley, R; Katzenellenbogen, JM; Thrift, AG; Lannin, NA; Cadilhac, DA, Factors Associated with 90-Day Readmission after Stroke or Transient Ischemic Attack: Linked Data from the Australian Stroke Clinical Registry, Stroke, 2020, 51 (2), pp. 571-578
dc.date.updated2020-07-21T04:28:13Z
gro.hasfulltextNo Full Text
gro.griffith.authorGrimley, Rohan


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record