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One-year vs five-year hospital readmission after ischemic stroke and TIA

BMC Neurology Feb 02, 2019

Bjerkreim AT, et al. - In a cohort of 1,453 ischemic stroke and transient ischemic attack (TIA) patients, researchers analyzed and compared factors associated with readmission within 1 year and first readmission during years 2–5. Patients with ischemic stroke or TIA who were discharged alive between July 2007 and October 2012 were followed over a 5-year period via review of medical charts. The investigators used Cox regression to detect independent risk factors for readmission. They observed that more than half of all patients who survived the first year after the stroke without any readmission within 5 years were re-admitted. Compared with patients who were readmitted during years 2–5, those who were readmitted within 1 year were older, had more severe strokes, poorer functional outcome, and a higher occurrence of complications during the index admission. Findings suggested that peripheral artery disease was independently associated with readmission within 1 year, and atrial fibrillation during years 2–5 was related to readmission.

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