Readmission and death after hospitalization for acute ischemic stroke

5-Year follow-up in the medicare population

Dawn Bravata, Shih Yieh Ho, Thomas P. Meehan, Lawrence M. Brass, John Concato

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE - Stroke is a leading cause of hospital admission among the elderly. Although studies have examined subsequent vascular outcomes, limited data are available regarding the full burden of hospital readmission after stroke. We sought to determine the rates of hospital readmissions and mortality and the reasons for readmission over a 5-year period after stroke. METHODS - This retrospective observational cohort study included Medicare beneficiaries aged >65 years who survived hospitalization for an acute ischemic stroke (International Classification of Diseases, Ninth Revision, Clinical Modification codes 434 and 436) and who were discharged from Connecticut acute care hospitals in 1995. This population was followed from discharge in 1995 through 2000 using part A Medicare claims and Social Security Administration mortality data. The primary outcome was hospital readmission and mortality and readmission diagnosis. RESULTS - Among 2603 patients discharged alive, more than half had died or been readmitted at least once during the first year after discharge (1388/2603, 53.3%), and

Original languageEnglish (US)
Pages (from-to)1899-1904
Number of pages6
JournalStroke
Volume38
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

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Medicare
Patient Readmission
Hospitalization
Stroke
Hospital Mortality
Population
United States Social Security Administration
International Classification of Diseases
Observational Studies
Blood Vessels
Cohort Studies
Mortality

Keywords

  • Brain ischemia
  • Mortality
  • Patient readmission

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

Cite this

Readmission and death after hospitalization for acute ischemic stroke : 5-Year follow-up in the medicare population. / Bravata, Dawn; Ho, Shih Yieh; Meehan, Thomas P.; Brass, Lawrence M.; Concato, John.

In: Stroke, Vol. 38, No. 6, 06.2007, p. 1899-1904.

Research output: Contribution to journalArticle

Bravata, Dawn ; Ho, Shih Yieh ; Meehan, Thomas P. ; Brass, Lawrence M. ; Concato, John. / Readmission and death after hospitalization for acute ischemic stroke : 5-Year follow-up in the medicare population. In: Stroke. 2007 ; Vol. 38, No. 6. pp. 1899-1904.
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