1 in 8 thrombectomy patients had a short-term readmission in 2014, according to a recent study, and characteristics suggestive of a complicated hospital course or greater physical disability were the primary predictors of readmission. Researchers conducted a 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. 4,850 individuals who underwent mechanical thrombectomy for acute ischemic stroke in 2014 were eligible for 30-day readmissions analyses. They found:
- The nonelective readmission rate was 12.5% at 30 days and 20.7% at 90 days.
- Sepsis and stroke were the most common reasons for readmission.
- Female sex, discharge to inpatient post-acute care facility, and longer initial length of stay were associated with a higher likelihood of readmission.
- Thrombectomy complications were rare and not associated with readmission.
Ramchand P, Thibault DP, Crispo JA, et al. Readmissions after mechanical thrombectomy for acute ischemic stroke in the United States: A nationwide analysis. [Published online ahead of print July 3, 2018]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2018.05.035.
This Week's Must Reads
Examining Brain Markers for Late-Onset Epilepsy, Neurology; ePub 2019 Jan 25; Johnson, et al
Hearing Loss Linked Cognitive Decline Risk in Men, Alzheimers Dement; ePub 2019 Jan 29; Curhan, et al
Brain Cholesterol Metabolism and PD Examined, Mov Disord; ePub 2019 Jan 25; Huang, et al
Sleep Behavior Disorder, Clinical Progression in PD, Parkinsonism Relat Disord; ePub 2019 Jan 29; Duarte Folle, et al
Spontaneous Subarachnoid Hemorrhage During Pregnancy, J Stroke Cerebrovasc Dis; ePub 2019 Jan 30; Limaye, et al
Must Reads in Neurosurgery & Trauma
Readmission Rates After Thrombectomy for Stroke , J Stroke Cerebrovasc Dis; ePub 2018 Jul 3; Ramchand, et al
Ischemic Stroke Risk After Trauma in Young Cohort, Neurology; ePub 2017 Nov 8; Fox, Hills, et al
Aneurysm Linked with Fibromuscular Dysplasia in Women, JAMA Neurol; ePub 2017 Jul 17; Lather, et al
High Rate of Revisions, Removals in DBS Surgery, Parkinsonism Relat Disord; ePub 2016 Sep 12; Rolston, et al
Seizures and Periodic Discharges in Traumatic Brain Injury, Ann Neurol; ePub 2016 Feb 28; Vespa, Tubi, et al