Abstract
BACKGROUND: Risk of early readmissions after a stroke is an important quality indicator for stroke care. This study aims to assess the trend in 28-day readmissions after a stroke from 2008 to 2015, and evaluate the causes and factors associated with readmissions in 2015. METHODS: Stroke patients were identified using discharge records from the Health Information Management System from 2008 to 2015. We included only patients who were discharged alive. The proportion of readmission within 28-days and its trend were analysed. Reasons for readmissions that were coded to International Classification of Diseases (ICD)-10 were determined for 2015. A multivariable logistic regression was performed to identify factors that are associated with the readmissions. RESULTS: Among 151,729 eligible stroke patients between 2008 and 2015, 12.3% were readmitted within 28 days post-discharge from their stroke events. The trend remained stable over the years. Proportions of early readmissions were slightly higher in women (range:11.6% to 13.3%) compared to men (range: 10.9% to 12.7%). The commonest cause of readmission was recurrent strokes (32.1%), followed by complications from stroke which include pneumonia (13.0%) and sepsis (4.8%). Older age groups, stroke subtypes (haemorrhagic stroke and subarachnoid haemorrhage), and longer length of stay (>3days) during the index admission were associated with a higher risk of early readmission. CONCLUSION: Findings from this study will allow us to review our current stroke management and establish areas for further improvement, which includes minimising potentially preventable admissions and identifying target groups of patients who are prone to early readmissions.
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@proceedings{APCPH-2019-265,
title = {Risk of 28-Day Readmissions Among Stroke Patients in Malaysia: Trend, Reasons and Its Associated Factors},
author = {Swee Hung Ang and Wen Yea Hwong and Sheamini Sivasampu and Michiel L. Bots and Ilonca Vaartjes},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {BACKGROUND: Risk of early readmissions after a stroke is an important quality indicator for stroke care. This study aims to assess the trend in 28-day readmissions after a stroke from 2008 to 2015, and evaluate the causes and factors associated with readmissions in 2015. METHODS: Stroke patients were identified using discharge records from the Health Information Management System from 2008 to 2015. We included only patients who were discharged alive. The proportion of readmission within 28-days and its trend were analysed. Reasons for readmissions that were coded to International Classification of Diseases (ICD)-10 were determined for 2015. A multivariable logistic regression was performed to identify factors that are associated with the readmissions. RESULTS: Among 151,729 eligible stroke patients between 2008 and 2015, 12.3% were readmitted within 28 days post-discharge from their stroke events. The trend remained stable over the years. Proportions of early readmissions were slightly higher in women (range:11.6% to 13.3%) compared to men (range: 10.9% to 12.7%). The commonest cause of readmission was recurrent strokes (32.1%), followed by complications from stroke which include pneumonia (13.0%) and sepsis (4.8%). Older age groups, stroke subtypes (haemorrhagic stroke and subarachnoid haemorrhage), and longer length of stay (\>3days) during the index admission were associated with a higher risk of early readmission. CONCLUSION: Findings from this study will allow us to review our current stroke management and establish areas for further improvement, which includes minimising potentially preventable admissions and identifying target groups of patients who are prone to early readmissions.},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Clinical Research, National Institutes of Health, Selangor, Malaysia, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands},
keywords = {readmission, Risk Factors, Southeast Asia, stroke, trends},
pubstate = {published},
tppubtype = {proceedings}
}