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Readmissions and Mortality During the First Year After Stroke-Data From a Population-Based Incidence Study

2020-07-24Journal article Open access
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dc.contributor.authorAbreu, Pedro
dc.contributor.authorMagalhães, Rui
dc.contributor.authorBaptista, Diana
dc.contributor.authorAzevedo, Elsa
dc.contributor.authorSilva, Maria Carolina
dc.contributor.authorCorreia, Manuel
dc.date.accessioned2021-05-20T13:25:33Z
dc.date.available2021-05-20T13:25:33Z
dc.date.issued2020-07-24
dc.description.abstractBackground: After a first-ever-in-a-lifetime stroke (FELS), hospital readmissions are common and associated with increased mortality and morbidity of stroke survivors, thus, raising the overall health burden of stroke. Population-based stroke studies on hospital readmissions are scarce despite it being an important healthcare service quality indicator. We evaluated unplanned readmissions or death during the first year after a FELS and their potential factors, based on a Portuguese community register. Methods: Data were retrieved from a population-based prospective register undertaken in Northern Portugal (ACIN2) in 2009-2011. Retrospective information about unplanned hospital readmissions and case fatality within 1 year after FELS index hospitalization (FELS-IH) was evaluated. Readmission/death-free survival 1 year after discharge was estimated using the Kaplan-Meyer method. Independent risk factors for readmission/death were identified using Cox proportional hazard models. Results: Unplanned readmission/death within 1 year occurred in 120 (31.6%) of the 389 hospitalized FELS survivors. In 31.2% and 33.5% of the cases, it occurred after ischemic stroke or intracerebral hemorrhage, respectively. Infections and cerebrovascular and cardiovascular diseases were the main causes of readmission. Of the readmissions, 65.3% and 52.5% were potentially avoidable or stroke related, respectively. The main cause of potentially avoidable readmissions was the continuation/recurrence of the event responsible for the initial admission or a closely related condition (71.2%). Male sex, age, previous and post-stroke functional status, and FELS-IH length of stay were independent factors of readmission/death within 1 year. Conclusions: Almost one-third of FELS survivors were readmitted/dead 1 year after their FELS-IH. This outcome persisted after the first months after stroke hospitalization in all stroke subtypes. More than half of readmissions were considered potentially avoidable or stroke related.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAbreu P, Magalhães R, Baptista D, Azevedo E, Silva MC, Correia M. Readmissions and Mortality During the First Year After Stroke-Data From a Population-Based Incidence Study. Front Neurol. 2020 Jul 24;11:636. doi: 10.3389/fneur.2020.00636. PMID: 32793092; PMCID: PMC7393181.pt_PT
dc.identifier.doi10.3389/fneur.2020.00636pt_PT
dc.identifier.issn1664-2295
dc.identifier.urihttp://hdl.handle.net/10400.16/2453
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fneur.2020.00636/fullpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectcommunity-based studypt_PT
dc.subjectepidemiologypt_PT
dc.subjectmortalitypt_PT
dc.subjectoutcomept_PT
dc.subjectstroke readmissionpt_PT
dc.titleReadmissions and Mortality During the First Year After Stroke-Data From a Population-Based Incidence Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSwitzerlandpt_PT
oaire.citation.startPage636pt_PT
oaire.citation.titleFrontiers in neurologypt_PT
oaire.citation.volume11pt_PT
person.familyNamecorreia
person.givenNamemanuel
person.identifier.ciencia-id0918-A4C8-9143
person.identifier.orcid0000-0001-6218-6072
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb9fbd156-21ee-49f3-9e7b-77ab16b09c5c
relation.isAuthorOfPublication.latestForDiscoveryb9fbd156-21ee-49f3-9e7b-77ab16b09c5c

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