Publication
Admission and Readmission/Death Patterns in Hospitalized and Non-hospitalized First-Ever-in-a-Lifetime Stroke Patients During the First Year: A Population-Based Incidence Study
| dc.contributor.author | Abreu, Pedro | |
| dc.contributor.author | Magalhães, Rui | |
| dc.contributor.author | Baptista, Diana | |
| dc.contributor.author | Azevedo, Elsa | |
| dc.contributor.author | Correia, Manuel | |
| dc.date.accessioned | 2022-11-08T15:06:40Z | |
| dc.date.available | 2022-11-08T15:06:40Z | |
| dc.date.issued | 2021 | |
| dc.description.abstract | Background: Hospitalization and readmission rates after a first-ever-in-a-lifetime stroke (FELS) are considered measures of quality of care and, importantly, may give valuable information to better allocate health-related resources. We aimed to investigate the hospitalization pattern and the unplanned readmissions or death of hospitalized (HospS) and non-hospitalized stroke (NHospS) patients 1 year after a FELS, based on a community register. Methods: Data about hospitalization and unplanned readmissions and case fatality 1 year after a FELS were retrieved from the population-based register undertaken in Northern Portugal (ACIN2), comprising all FELS in 2009-2011. We used the Kaplan-Meier method to estimate 1-year readmission/death-free survival and Cox proportional hazard models to identify independent factors for readmission/death. Results: Of the 720 FELS, 35.7% were not hospitalized. Unplanned readmission/death within 1 year occurred in 33.0 and 24.9% of HospS and NHospS patients, respectively. The leading causes of readmission were infections, recurrent stroke, and cardiovascular events. Stroke-related readmissions were observed in more than half of the patients in both groups. Male sex, age, pre- and post-stroke functional status, and diabetes were independent factors of readmission/death within 1 year. Conclusion: About one-third of stroke patients were not hospitalized, and the readmission/death rate was higher in HospS patients. Still, that readmission/death rate difference was likely due to other factors than hospitalization itself. Our research provides novel information that may help implement targeted health-related policies to reduce the burden of stroke and its complications. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Abreu P, Magalhães R, Baptista D, Azevedo E, Correia M. Admission and Readmission/Death Patterns in Hospitalized and Non-hospitalized First-Ever-in-a-Lifetime Stroke Patients During the First Year: A Population-Based Incidence Study. Front Neurol. 2021;12:685821. doi:10.3389/fneur.2021.685821 | pt_PT |
| dc.identifier.doi | 10.3389/fneur.2021.685821 | pt_PT |
| dc.identifier.issn | 1664-2295 | |
| dc.identifier.uri | http://hdl.handle.net/10400.16/2739 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Frontiers Research Foundation | pt_PT |
| dc.relation.publisherversion | https://www.frontiersin.org/articles/10.3389/fneur.2021.685821/full | pt_PT |
| dc.subject | community-based study | pt_PT |
| dc.subject | epidemiology | pt_PT |
| dc.subject | mortality | pt_PT |
| dc.subject | outcome | pt_PT |
| dc.subject | patient admission | pt_PT |
| dc.subject | stroke | pt_PT |
| dc.subject | stroke readmissions | pt_PT |
| dc.title | Admission and Readmission/Death Patterns in Hospitalized and Non-hospitalized First-Ever-in-a-Lifetime Stroke Patients During the First Year: A Population-Based Incidence Study | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Switzerland | pt_PT |
| oaire.citation.startPage | 685821 | pt_PT |
| oaire.citation.title | Frontiers in Neurology | pt_PT |
| oaire.citation.volume | 12 | pt_PT |
| person.familyName | correia | |
| person.givenName | manuel | |
| person.identifier.ciencia-id | 0918-A4C8-9143 | |
| person.identifier.orcid | 0000-0001-6218-6072 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | b9fbd156-21ee-49f3-9e7b-77ab16b09c5c | |
| relation.isAuthorOfPublication.latestForDiscovery | b9fbd156-21ee-49f3-9e7b-77ab16b09c5c |