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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Readmissions After Mechanical Thrombectomy for Acute Ischemic Stroke in the United States: A Nationwide Analysis
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Readmissions After Mechanical Thrombectomy for Acute Ischemic Stroke in the United States: A Nationwide Analysis

机译：美国急性缺血中风机械血栓切除术后的入伍：全国范围内

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ObjectiveMechanical thrombectomy after acute ischemic stroke has been shown to improve clinical outcomes. Data on short-term hospitalization outcomes after thrombectomy are needed. Our objective was to quantify 30- and 90-day readmissions after thrombectomy and identify factors associated with readmissions. MethodsRetrospective observational analysis of adult patients hospitalized between January and November 2014, using data from the 2014 Nationwide Readmissions Database. Readmission rates were calculated and examined according to patient, clinical, and hospital characteristics using descriptive statistics. Weighted unconditional logistic regression models estimated the odds of readmission and examine the associations between select characteristics and readmission. Results4850 individuals who underwent mechanical thrombectomy for acute ischemic stroke in 2014 were eligible for 30-day readmissions analyses. The nonelective readmission rate was 12.5% at 30 days, 20.7% at 90 days. Sepsis and stroke were the most common reasons for readmission. Female sex (adjusted odds ratio [AOR] 1.34, 1.02-1.77 at 30 days), discharge to inpatient postacute care facility (AOR 1.61, 1.07-2.41 at 30 days, AOR 1.99, 1.47-2.69 at 90 days), and longer initial length of stay (AOR 1.52, 1.04-2.23 at 30 days, AOR 1.67, 1.14-2.43 at 90?days) were associated with a higher likelihood of readmission. Thrombectomy complications were rare and not associated with readmission. Conclusions1 in 8?thrombectomy patients had a short-term readmission in 2014. Characteristics suggestive of a complicated hospital course or greater physical disability were the primary predictors of readmission. This study provides preliminary data for evaluations of the public health impact of mechanical thrombectomy in real world settings.
机译：目的急性缺血性卒中后机械血栓切除术已被证明能改善临床疗效。需要血栓切除术后短期住院结果的数据。我们的目标是量化血栓切除术后30天和90天的再入院率，并确定与再入院相关的因素。方法利用2014年全国再入院数据库的数据，对2014年1月至11月住院的成年患者进行回顾性观察分析。根据患者、临床和医院特征，采用描述性统计方法计算和检查再入院率。加权无条件logistic回归模型估计了再入院的几率，并检查了选择特征与再入院之间的关联。结果2014年因急性缺血性卒中接受机械血栓切除术的4850人符合30天再入院分析的条件。非选择性再入院率在30天时为12.5%，在90天时为20.7%。脓毒症和中风是再入院的最常见原因。女性（调整后的优势比[AOR]为1.34，30天时为1.02-1.77），出院至住院患者急诊后护理机构（30天时为AOR 1.61，1.07-2.41，90天时为AOR 1.99，1.47-2.69），以及更长的初始住院时间（30天时为AOR 1.52，1.04-2.23，90天时为AOR 1.67，1.14-2.43）与更高的再入院可能性相关。血栓切除术并发症罕见，与再入院无关。结论1/8？血栓切除术患者在2014年短期内再次入院。提示复杂的住院过程或更严重的身体残疾的特征是再入院的主要预测因素。这项研究为评估现实环境中机械血栓切除术对公众健康的影响提供了初步数据。

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