J Korean Biol Nurs Sci.  2022 Nov;24(4):262-271. 10.7586/jkbns.2022.24.4.262.

Factors Affecting Readmission After Discharge in Stroke Patients: A Retrospective Study

• Kang AJ
• Lee SH
• Kim RB
• Jeon MY

• KMID: 2536686
• DOI: http://doi.org/10.7586/jkbns.2022.24.4.262

Abstract

Purpose
The purpose of this study was to identify the factors affecting readmission in stroke patients.
Methods
A retrospective study design was used. Participants were 3,675 adult cerebral stroke patients in the inpatient wards of the Department of Neurology and Neurosurgery of G University Hospital located in C city. Data were collected from January 1, 2016 to December 31, 2021 and data were analyzed using χ² test, independent t-test, and multivariate logistic regression with SPSS/WIN 24.0.
Results
After discharge for stroke, the readmission rate was 23.7%, and the mortality rate was 0.3%. The variables with significant differences between the readmission group and non-readmission group were age, type of stroke, surgery, ICU treatment, mRS score, blood pressure, diabetes, and heart disease. Factors influencing an readmission in stroke patients were Age 65-74 (OR 1.30, 95% CI = 1.03-1.64), ≥ 75 (OR 1.28, 95% CI = 1.02-1.62), mRS score 2points (OR 2.50, 95% CI = 1.99-3.13), HTN status (OR 1.26, 95% CI = 1.07-1.50), CVD status (OR 1.38, 95% CI = 1.01-1.90), TC (OR 1.60, 95% CI = 1.05-2.44).
Conclusion
To lower the readmission rate of stroke patients, it is essential to control lifestyle, including whether or not to take treatment drugs, after diagnosing risk factors such as high blood pressure, diabetes, and heart disease, hyperlipidemia. Nursing interventions that can provide information on risk factor management and coping strategies are urgently needed as symptoms change. In addition, research is needed to develop and implement an intervention strategy that can improve the function of stroke patients as much as possible at home or in society so that they can lead an independent life without the help of others, and verify their effectiveness.

Keyword

Stroke; Patient Discharge; Patient Readmission