Readmissions After Mechanical Thrombectomy for Acute Ischemic Stroke in the United States: A Nationwide Analysis

医学 冲程(发动机) 逻辑回归 优势比 急诊医学 可能性 回顾性队列研究 观察研究 败血症 缺血性中风 医疗成本与利用项目 内科学 医疗保健 缺血 经济 工程类 机械工程 经济增长
作者
Preethi Ramchand,Dylan Thibault,James A.G. Crispo,Joshua M. Levine,Robert W. Hurst,Michael T. Mullen,Scott E. Kasner,Allison W. Willis
出处
期刊:Journal of stroke and cerebrovascular diseases [Elsevier BV]
卷期号:27 (10): 2632-2640 被引量:15
标识
DOI:10.1016/j.jstrokecerebrovasdis.2018.05.035
摘要

Mechanical 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.Retrospective 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.4850 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.1 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.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
共享精神应助Emma采纳,获得10
1秒前
junyang发布了新的文献求助10
1秒前
十二月完成签到,获得积分10
1秒前
hu完成签到 ,获得积分10
1秒前
爱情哈尔发布了新的文献求助10
2秒前
爆米花应助珍妮采纳,获得10
3秒前
CR7应助springovo采纳,获得20
3秒前
4秒前
4秒前
5秒前
柒_l发布了新的文献求助10
6秒前
Akim应助upsoar采纳,获得10
6秒前
乂贰ZERO叁完成签到 ,获得积分10
6秒前
7秒前
8秒前
9秒前
热心市民小红花应助小远采纳,获得10
10秒前
段皖顺完成签到 ,获得积分10
11秒前
12秒前
13秒前
14秒前
水木公完成签到,获得积分10
15秒前
16秒前
马小马完成签到,获得积分10
16秒前
17秒前
禮貌发布了新的文献求助30
18秒前
在水一方应助PYF采纳,获得40
18秒前
坩埚钳完成签到,获得积分10
19秒前
Stsirywtbd完成签到,获得积分10
19秒前
lalala发布了新的文献求助10
20秒前
21秒前
孙雪松完成签到 ,获得积分10
21秒前
23秒前
成就盼芙发布了新的文献求助20
24秒前
苗条棒棒糖完成签到,获得积分10
25秒前
番茄玉米排骨汤给番茄玉米排骨汤的求助进行了留言
25秒前
battle完成签到,获得积分10
25秒前
JamesPei应助现代雪晴采纳,获得10
26秒前
一心完成签到,获得积分10
26秒前
润鑫完成签到,获得积分10
26秒前
高分求助中
Ophthalmic Equipment Market by Devices(surgical: vitreorentinal,IOLs,OVDs,contact lens,RGP lens,backflush,diagnostic&monitoring:OCT,actorefractor,keratometer,tonometer,ophthalmoscpe,OVD), End User,Buying Criteria-Global Forecast to2029 2000
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 588
不知道标题是什么 500
Christian Women in Chinese Society: The Anglican Story 500
A Preliminary Study on Correlation Between Independent Components of Facial Thermal Images and Subjective Assessment of Chronic Stress 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3962134
求助须知:如何正确求助?哪些是违规求助? 3508388
关于积分的说明 11140655
捐赠科研通 3241036
什么是DOI,文献DOI怎么找? 1791184
邀请新用户注册赠送积分活动 872809
科研通“疑难数据库(出版商)”最低求助积分说明 803371