30-Day Readmission of Stroke Patients in a Private Hospital in Porto Alegre – Rio Grande do Sul – Brazil
DOI:
https://doi.org/10.34119/bjhrv8n6-411Keywords:
30-day hospital readmission, chronic non-communicable diseases, stroke, statistical data treatmentAbstract
Objectives: Stroke is a non-communicable chronic disease (NCDs) increasingly prevalent in the world population and one of the main causes of mortality in Brazil. Hospital readmission rates after acute stroke have been used to measure performance of the health system in managing the disease. Studies have shown that readmission rates within 30 days vary from 6.5% to 29% among countries. However, most readmission studies were carried out in developed countries while there is a lack of this type of studies in underdeveloped and developing countries. The present work aims to investigate the causes and factors associated with 30-day readmission in Brazilian stroke patients. Materials and Methods: A retrospective cohort study was carried out in a private hospital in Porto Alegre including stroke patients from 2016 to 2021, over 18 years old. Logistic regression was applied to assess factors associated with 30-day readmission. Results: A total of 474 patients were included in the study of which 51 (10.75%) were readmitted within thirty days. The most frequent causes for readmission were cerebrovascular events (33.3%) followed by infections (25.5%). Predictor variables for readmission were: use of mechanical ventilation, congestive heart failure (CHF), urinary tract infection (UTI), use of nasoenteric tube or gastrostomy (NET/G-tube), bronchopneumonia (BPN), deep vein thrombosis (DVT), atrial fibrillation, diabetes mellitus, smoking, obesity, pulmonary congestion, pulmonary embolism, moderate/severe National Institute of Health Stroke Scale (NIHSS) deficit, previous functional outcome classified as moderate/impaired at the time of admission, impaired functional outcome during index hospitalization and impaired functional outcome at hospital discharge. Conclusions: Investigation of causes and factors leading to 30-day readmission after a stroke is of great importance to improve care practices, policy decisions for health systems as well as personalized educational and treatment approaches. Several factors that may predict a higher risk of 30-day hospital readmission after a stroke have been identified. It has been verified that 10.75% of stroke patients were readmitted within thirty days after discharge, which is a value comparable with those found in the literature for developed countries hospitals.
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