Factors Affecting the Readmission of Patients with Stroke.

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2024-12-17 DOI:10.1016/j.wneu.2024.123572

Wei Cun, Ke Xu, Qi Chai, Lijuan Duan

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引用次数: 0

Abstract

Background: Incidence of stroke is increasing annually in China, the readmission rate of patients with stroke remains high.

Method: In total, 441 patients were enrolled in this study. We described the incidence of stroke readmissions. Furthermore, we used the Andersen-Gill (AD) model to explore the factors affecting all-cause readmission and cardio-cerebrovascular-related readmission of patients with stroke. Identification of these predictors can help reduce the readmission rate of patients with stroke.

Results: (1) In total, 441 patients with stroke were included. Among them, 163 (40%) had readmission records. Among them, 44 patients had readmission due to cardiovascular and cerebrovascular diseases, accounting for 10.70%. (2) The Modified Rankin Scale (mRs scale) score affected all-cause readmission of patients with stroke. Patients with stroke and a score of 5 were 5.46 times more likely to be readmitted than those with a score of 0 (HR=5.46, 95% CI: 1.59∼18.7, PPP CONCLUSION: The readmission of patients with stroke may be related to their physical activity function, chronic diseases, and socioeconomic status. When considering the factors predicting the re-admission of patients with stroke, we cannot blindly draw on the results of relevant foreign studies.

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背景中国脑卒中发病率逐年上升，但脑卒中患者的再入院率却居高不下：本研究共纳入 441 名患者。我们描述了脑卒中再入院的发生率。此外，我们还使用安德森-吉尔（Andersen-Gill，AD）模型探讨了影响脑卒中患者全因再入院和心脑血管相关再入院的因素。结果：（1）共纳入 441 名脑卒中患者。结果：（1）共纳入 441 名脑卒中患者，其中 163 人（40%）有再入院记录。其中，44 名患者因心脑血管疾病再次入院，占 10.70%。(2）改良兰金量表（mRs scale）评分对脑卒中患者的全因再入院有影响。评分为 5 分的脑卒中患者再次入院的可能性是评分为 0 分患者的 5.46 倍（HR=5.46，95% CI：1.59∼18.7，PPP 结论：脑卒中患者再次入院可能与他们的体力活动功能、慢性疾病和社会经济状况有关。在考虑脑卒中患者再入院的预测因素时，我们不能盲目借鉴国外相关研究的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS