Abstract
Background. Previous evidence on factors and causes of readmissions associated with high-impact users of stroke is scanty. The aim of the study was to investigate common causes and pattern of short- and long-term readmissions stroke patients by conducting a systematic review of studies using hospital administrative data. Common risk factors associated with the change of readmission rate were also examined. Methods. The literature search was conducted from 15 February to 15 March 2016 using various databases, such as Medline, Embase, and Web of Science. Results. There were a total of 24 studies (n = 2,126,617) included in the review. Only 4 studies assessed causes of readmissions in stroke patients with the follow-up duration from 30 days to 5 years. Common causes of readmissions in majority of the studies were recurrent stroke, infections, and cardiac conditions. Common patient-related risk factors associated with increased readmission rate were age and history of coronary heart disease, heart failure, renal disease, respiratory disease, peripheral arterial disease, and diabetes. Among stroke-related factors, length of stay of index stroke admission was associated with increased readmission rate, followed by bowel incontinence, feeding tube, and urinary catheter. Conclusion. Although risk factors and common causes of readmission were identified, none of the previous studies investigated causes and their sequence of readmissions among high-impact stroke users.
Highlights
Stroke is one of the leading causes of morbidity and mortality in the world and the cost of management of stroke has vastly increased [1]
Subarachnoid haemorrhage (SAH) is a subtype of haemorrhagic stroke that is caused by bleeding on the surface of the brain, whereas in intracerebral haemorrhage (ICH) bleeding occurs within the brain tissue [4]
The aim of the study was to review the evidence on common causes and patterns of short- and long-term readmissions in stroke patients by conducting a systematic review of studies using hospital administrative data
Summary
Stroke is one of the leading causes of morbidity and mortality in the world and the cost of management of stroke has vastly increased [1]. Haemorrhagic stroke results from rupture of a blood vessel or an abnormal vascular structure [3]. This results in bleed in the brain. Previous evidence on factors and causes of readmissions associated with high-impact users of stroke is scanty. Common risk factors associated with the change of readmission rate were examined. Common patient-related risk factors associated with increased readmission rate were age and history of coronary heart disease, heart failure, renal disease, respiratory disease, peripheral arterial disease, and diabetes. Risk factors and common causes of readmission were identified, none of the previous studies investigated causes and their sequence of readmissions among high-impact stroke users
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