Bouncing-back: rehospitalization in patients with complicated transitions in the first thirty days after hospital discharge for acute stroke.
In: Home Health Care Services Quarterly, Jg. 26 (2007-10-01), Heft 4, S. 37-55
academicJournal
Zugriff:
Background: 'Bounce-backs' (movements from a less intensive to a more intensive care setting) soon after hospital discharge are common, but reasons for bouncing-back remain unknown. Objective: To examine how the primary diagnosis for first rehospitalization relates to thirty-day bounce-back number and initial discharge destination in acute stroke. Population: Administrative data from 5,250 Medicare beneficiaries >/= 65 years discharged with acute ischemic stroke in 1998-2000 to a rehabilitation center, skilled nursing facility or home with home health care and with at least one thirty day rehospitalization. Analysis: Probability of thirty-day bounce-back was calculated using multivariate models. Results: Infections and aspiration pneumonitis were the most common reasons for rehospitalization, regardless of initial discharge site. Conclusions: Efforts addressing aspirations and infections, the preventable complications of immobility, will be critical in decreasing acute stroke bounce-backs. [ABSTRACT FROM AUTHOR]
Titel: |
Bouncing-back: rehospitalization in patients with complicated transitions in the first thirty days after hospital discharge for acute stroke.
|
---|---|
Autor/in / Beteiligte Person: | Kind, AJH ; Smith, MA ; Pandhi, N ; Frytak, JR ; Finch, MD |
Zeitschrift: | Home Health Care Services Quarterly, Jg. 26 (2007-10-01), Heft 4, S. 37-55 |
Veröffentlichung: | 2007 |
Medientyp: | academicJournal |
ISSN: | 0162-1424 (print) |
DOI: | 10.1300/j027v26n04_04 |
Sonstiges: |
|