Factors Affecting the Readmission of Patients with Stroke

Abstract

Background: Incidence of stroke is increasing annually in China, the readmission rate of patients with stroke remains high.

Methods: In total, 441 patients were enrolled in this study. We described the incidence of stroke readmissions. Furthermore, we used the Andersen-Gill model to explore the factors affecting all-cause readmission and cardio-cerebrovascular-related readmission of patients with stroke. Identification of these predictors can help reduce the readmission rate of patients with stroke.

Results: 1) In total, 441 patients with stroke were included. Among them, 163 (40%) had readmission records. Among them, 44 patients had readmission due to cardiovascular and cerebrovascular diseases, accounting for 10.70%. 2) The Modified Rankin Scale (mRs scale) score affected all-cause readmission of patients with stroke. Patients with stroke and a score of 5 were 5.46 times more likely to be readmitted than those with a score of 0 (HR = 5.46, 95% CI: 1.59∼18.7, P < 0.1). 3) Patients with college degree or above were 2.48 times more likely to have cardio-cerebrovascular-related readmission compared to those with junior high school education or below (HR = 2.48, 95% CI: 1.11∼5.54, P < 0.1). Patients with chronic diseases were 3.68 times more likely to have cardio-cerebrovascular-related readmission compared to those without chronic diseases (HR = 3.68, 95% CI: 1.61∼8.39, P < 0.1).

Conclusions: The readmission of patients with stroke may be related to their physical activity function, chronic diseases, and socioeconomic status. When considering the factors predicting the readmission of patients with stroke, we cannot blindly draw on the results of relevant foreign studies.

Keywords: Cardio-cerebrovascular readmissions; Influence factor; Readmission for any cause; Stroke.