Patient and hospital factors associated with 30-day unplanned readmission in patients with stroke

Sang Ah Lee, Eun Cheol Park, Jae Yong Shin, Yeong Jun Ju, Young Choi, Hoo Yeon Lee

Research output: Contribution to journalArticle

Abstract

Stroke is frequently associated with readmission; moreover, readmission is regarded as an important indicator of the quality of stroke care. Thus, we investigated factors associated with 30-day readmission in patients with stroke in South Korea. We used claims data from 2013 for stroke (I60-I62) patients (n=44 729) in 94 hospitals and classified unplanned readmission according to the Centers for Medicare and Medicaid guidelines. We used multilevel models to investigate patient (age, gender, type of insurance, admission via emergency room, length of stay, type of stroke, Elixhauser Index Score) and hospital (stroke care quality grade, location of hospital, type of hospital, number of doctors and nurses per 100 beds) factors associated with readmission within 30 days of discharge. Among the 44 729 patients admitted due to stroke, 9.2% (n=4124) were readmitted to hospital and 7.6% (n=3379) had unplanned readmissions. Regarding patient characteristics, medical aid and longer hospital stay were associated with 30-day readmission rate. Among hospital factors, patients admitted to a low-grade hospital or a non-capital area hospital were more likely to be readmitted within 30 days of discharge. We identified patient and hospital factors associated with 30-day readmission among stroke patients. In particular, patients admitted to hospitals with higher quality stroke care showed lower readmission rates.

Original languageEnglish
JournalJournal of Investigative Medicine
DOIs
Publication statusAccepted/In press - 2018 Jul 23

Fingerprint

Patient Readmission
Stroke
Quality of Health Care
Length of Stay
Emergency rooms
Hospital beds
Republic of Korea
Medicaid
Medicare
Insurance
Hospital Emergency Service
Nurses
Guidelines

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

@article{b1f493ef08ef4f679e6a59ebba1f8534,
title = "Patient and hospital factors associated with 30-day unplanned readmission in patients with stroke",
abstract = "Stroke is frequently associated with readmission; moreover, readmission is regarded as an important indicator of the quality of stroke care. Thus, we investigated factors associated with 30-day readmission in patients with stroke in South Korea. We used claims data from 2013 for stroke (I60-I62) patients (n=44 729) in 94 hospitals and classified unplanned readmission according to the Centers for Medicare and Medicaid guidelines. We used multilevel models to investigate patient (age, gender, type of insurance, admission via emergency room, length of stay, type of stroke, Elixhauser Index Score) and hospital (stroke care quality grade, location of hospital, type of hospital, number of doctors and nurses per 100 beds) factors associated with readmission within 30 days of discharge. Among the 44 729 patients admitted due to stroke, 9.2{\%} (n=4124) were readmitted to hospital and 7.6{\%} (n=3379) had unplanned readmissions. Regarding patient characteristics, medical aid and longer hospital stay were associated with 30-day readmission rate. Among hospital factors, patients admitted to a low-grade hospital or a non-capital area hospital were more likely to be readmitted within 30 days of discharge. We identified patient and hospital factors associated with 30-day readmission among stroke patients. In particular, patients admitted to hospitals with higher quality stroke care showed lower readmission rates.",
author = "Lee, {Sang Ah} and Park, {Eun Cheol} and Shin, {Jae Yong} and Ju, {Yeong Jun} and Young Choi and Lee, {Hoo Yeon}",
year = "2018",
month = "7",
day = "23",
doi = "10.1136/jim-2018-000748",
language = "English",
journal = "Journal of Investigative Medicine",
issn = "1081-5589",
publisher = "Lippincott Williams and Wilkins",

}

Patient and hospital factors associated with 30-day unplanned readmission in patients with stroke. / Lee, Sang Ah; Park, Eun Cheol; Shin, Jae Yong; Ju, Yeong Jun; Choi, Young; Lee, Hoo Yeon.

In: Journal of Investigative Medicine, 23.07.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patient and hospital factors associated with 30-day unplanned readmission in patients with stroke

AU - Lee, Sang Ah

AU - Park, Eun Cheol

AU - Shin, Jae Yong

AU - Ju, Yeong Jun

AU - Choi, Young

AU - Lee, Hoo Yeon

PY - 2018/7/23

Y1 - 2018/7/23

N2 - Stroke is frequently associated with readmission; moreover, readmission is regarded as an important indicator of the quality of stroke care. Thus, we investigated factors associated with 30-day readmission in patients with stroke in South Korea. We used claims data from 2013 for stroke (I60-I62) patients (n=44 729) in 94 hospitals and classified unplanned readmission according to the Centers for Medicare and Medicaid guidelines. We used multilevel models to investigate patient (age, gender, type of insurance, admission via emergency room, length of stay, type of stroke, Elixhauser Index Score) and hospital (stroke care quality grade, location of hospital, type of hospital, number of doctors and nurses per 100 beds) factors associated with readmission within 30 days of discharge. Among the 44 729 patients admitted due to stroke, 9.2% (n=4124) were readmitted to hospital and 7.6% (n=3379) had unplanned readmissions. Regarding patient characteristics, medical aid and longer hospital stay were associated with 30-day readmission rate. Among hospital factors, patients admitted to a low-grade hospital or a non-capital area hospital were more likely to be readmitted within 30 days of discharge. We identified patient and hospital factors associated with 30-day readmission among stroke patients. In particular, patients admitted to hospitals with higher quality stroke care showed lower readmission rates.

AB - Stroke is frequently associated with readmission; moreover, readmission is regarded as an important indicator of the quality of stroke care. Thus, we investigated factors associated with 30-day readmission in patients with stroke in South Korea. We used claims data from 2013 for stroke (I60-I62) patients (n=44 729) in 94 hospitals and classified unplanned readmission according to the Centers for Medicare and Medicaid guidelines. We used multilevel models to investigate patient (age, gender, type of insurance, admission via emergency room, length of stay, type of stroke, Elixhauser Index Score) and hospital (stroke care quality grade, location of hospital, type of hospital, number of doctors and nurses per 100 beds) factors associated with readmission within 30 days of discharge. Among the 44 729 patients admitted due to stroke, 9.2% (n=4124) were readmitted to hospital and 7.6% (n=3379) had unplanned readmissions. Regarding patient characteristics, medical aid and longer hospital stay were associated with 30-day readmission rate. Among hospital factors, patients admitted to a low-grade hospital or a non-capital area hospital were more likely to be readmitted within 30 days of discharge. We identified patient and hospital factors associated with 30-day readmission among stroke patients. In particular, patients admitted to hospitals with higher quality stroke care showed lower readmission rates.

UR - http://www.scopus.com/inward/record.url?scp=85050605150&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050605150&partnerID=8YFLogxK

U2 - 10.1136/jim-2018-000748

DO - 10.1136/jim-2018-000748

M3 - Article

JO - Journal of Investigative Medicine

JF - Journal of Investigative Medicine

SN - 1081-5589

ER -