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- W2912842906 abstract "Background: Hospital Readmissions Reduction Program requires CMS to reduce payments to hospitals with excess readmissions. Trend in 30 days readmission among patients with index hospitalization for stroke in the United States is largely unknown. In this study, national trend was examined to estimate quality of care in the US population. Methods: Patients, ≥40 years, with index hospitalization for stroke were extracted from the Nationwide Readmission Database (2010-2015). They were identified using ICD9 and ICD10 codes (433.x, 434.x, 435.x, 436.x, I63.x). Readmissions were defined as all cause readmission during 30 days post index hospitalization discharge, and were divided into planned and unplanned according to AHRQ guidelines. Weighted percentages and Joinpoint analysis were used to evaluate 30 days readmission trends and the annual percentage change (APC). Results: Older patients (≥75 years) and those with a higher comorbidity burden were readmitted frequently. Overall, there was a downward trend in unplanned 30 days readmissions between 2010 and 2015; the lowest rate (95% CI), was seen in 2014 (10.7%; 10.5% - 10.8%) and the highest in 2010 (11.6%; 11.4% - 11.8%). From 2010 to 2015, reduction in APC was 1.3% ( P > .08). Conclusions: Around 10%-12% of patients with stroke get readmitted within 30 days post discharge. Not only there is a high clinical and economic burden associated with readmissions due to stroke, it is also associated with poor survival. This highlights the need for interventions ensuring appropriate level of service and early outpatient follow-up after discharge. Reducing postoperative complications; managing behavioral risk factors (smoking, alcohol, diabetes management); or choosing appropriate carotid revascularization technique such as endarterectomy over stenting may reduce 30 days unplanned readmission and the high risk of mortality among stroke patients. Efforts should be made among elderly patients so that there is a decrease in trend." @default.
- W2912842906 created "2019-02-21" @default.
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- W2912842906 date "2019-02-01" @default.
- W2912842906 modified "2023-09-25" @default.
- W2912842906 title "Abstract WMP51: Estimates of Trends in 30 Days Readmission Among Patients With Stroke in the United States, 2010-2015" @default.
- W2912842906 doi "https://doi.org/10.1161/str.50.suppl_1.wmp51" @default.
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