Abstract NS14: Stroke Follow-up: Characteristics of Patients Re-hospitalized to Acute Care 30 Days after Discharge from Rehabilitation
Background/Purpose: According to the National Quality Forum, readmission measures can serve as indicators of whether care coordination has been optimized. The Center for Medicare and Medicaid Services has adopted an All-Cause Unplanned Readmission Measure for 30 days post discharge from inpatient rehabilitation facilities and will require reporting on the measure in 2016.
The purpose of this study was to explore characteristics of stroke patients who were discharged from rehabilitation and readmitted within 30 days to an acute care hospital versus those patients discharged from an inpatient rehabilitation facility who did not require readmission to an acute care facility.
Methods: We conducted a descriptive, cross-sectional analysis on patients with stroke who completed and were discharged from intensive rehabilitation between October 1, 2011 and September 30, 2012. The overall sample size included 9,386 patients. We examined characteristics of those readmitted to acute care within 30 days (n = 645) post discharge rehabilitation versus those that did not have a re-hospitalization to acute care within 30 days. In addition, we examined those patients who died at follow-up (n = 609) separately.
Results: Stroke patients requiring hospitalization within 30 days were primarily male (55%). Slightly more patients (male and female) had left body involvement (41%) versus right body involvement (37%). The majority of patients who required re-hospitalization had been discharged home (77.2%) and were living with family or relatives (88%). There was no difference in average age (67 years) between those patients requiring re-hospitalization versus those that did not; however, those who died had an average age of 75 years. The primary reasons for re-hospitalization included: need for other rehabilitation therapy (n = 87), another stroke (n=76) and falls (n=29).
Conclusion: In conclusion, identifying patient characteristics and reasons for re-hospitalization in the post-stroke rehabilitation patients can provide valuable insight to the rehabilitation team. Additional research is needed to identify those patients most at risk to prevent re-hospitalization to acute care after discharge from inpatient rehabilitation.
Author Disclosures: T. Black: None. S. Illig: None. C. Illig: None. T. Bennett: None.
- © 2014 by American Heart Association, Inc.