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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Hospital readmission in persons with stroke following postacute inpatient rehabilitation.
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Hospital readmission in persons with stroke following postacute inpatient rehabilitation.

机译：急性住院后康复治疗后中风患者的住院率。

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Readmission is an important quality indicator following acute care hospitalization. We examined factors associated with hospital readmission in persons with stroke following postacute inpatient rehabilitation.Prospective cohort study including 674 persons with stroke who received rehabilitation at 11 facilities located in eight states and the District of Columbia. Measures included hospital readmission within 3 months of discharge, sociodemographic characteristics, length of stay, primary payment source, comorbidities, stroke type, standardized assessments of motor and cognitive function, depressive symptoms, and social support.Mean age was 71.5 years (SD = 10.5). Twenty-five percent of patients reported high depressive symptoms. Overall, 18% (n = 122) of the sample was rehospitalized. Univariate analyses showed that people who were rehospitalized were more likely (p < .05) to be non-Hispanic white, married, demonstrate less functional independence at discharge, experience longer lengths of stay in rehabilitation, and report more depressive symptoms and lower social support. In the fully adjusted multivariable hierarchical generalized linear model, motor functional status (OR = 0.98, 95% CI 0.96-0.99), depressive symptoms (OR = 1.80, 95% CI 1.06-3.05), and social support (OR = 2.28, 95% CI 1.29-4.03) remained statistically significant. In addition, a minority-by-depressive symptoms interaction term also reached statistical significance.Functional status, depressive symptoms, and social support were important predictors of hospital readmission. These variables are not included in most administrative data sets. Future research to develop useful risk-adjustment models for rehospitalization following postacute inpatient rehabilitation services should include large diverse samples and explore practical sources for additional meaningful information.
机译：再入院是急诊住院后的重要质量指标。我们检查了急性住院后康复治疗后卒中患者住院再入院的相关因素。前瞻性队列研究包括674名卒中患者，他们分别在八个州和哥伦比亚特区的11个机构接受了康复治疗。措施包括出院后3个月内住院再入院，社会人口统计学特征，住院时间，主要付款来源，合并症，中风类型，运动和认知功能的标准化评估，抑郁症状和社会支持，平均年龄为71.5岁（SD = 10.5） ）。 25％的患者报告了高抑郁症状。总体而言，有18％（n = 122）的样本被重新住院。单因素分析表明，再次入院的人更有可能是非西班牙裔白人（p <.05），已婚，表现出出院时的功能独立性较差，康复时间更长，并报告了更多的抑郁症状和较低的社会支持。在完全调整的多变量分层广义线性模型中，运动功能状态（OR = 0.98，95％CI 0.96-0.99），抑郁症状（OR = 1.80，95％CI 1.06-3.05）和社会支持（OR = 2.28，95） ％CI 1.29-4.03）仍具有统计学意义。此外，少数人与抑郁症的症状相互作用期也达到统计学意义。功能状态，抑郁症症状和社会支持是医院再次入院的重要预测指标。这些变量未包含在大多数管理数据集中。未来的研究为急性住院后康复服务的再住院开发有用的风险调整模型，应该包括大量的样本，并探索更多有用信息的实用来源。

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