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Home Health Care Serv Q. 2007;26(4):37-55.

Bouncing-back: rehospitalization in patients with complicated transitions in the first thirty days after hospital discharge for acute stroke.

Author information

  • 1Department of Population Health Sciences, Geriatrics Division, University of Wisconsin School of Medicine and Public Health, Wadison, WI, USA. ajk@medicine.wisc.edu

Abstract

BACKGROUND:

"Bounce-backs" (movements from a less intensive to a more intensive care setting) soon after hospital discharge are common, but reasons for bouncing-back remain unknown.

OBJECTIVE:

To examine how the primary diagnosis for first rehospitalization relates to thirty-day bounce-back number and initial discharge destination in acute stroke.

POPULATION:

Administrative data from 5,250 Medicare beneficiaries > or = 65 years discharged with acute ischemic stroke in 1998-2000 to a rehabilitation center, skilled nursing facility or home with home health care and with at least one thirty day rehospitalization.

ANALYSIS:

Probability of thirty-day bounce-back was calculated using multivariate models.

RESULTS:

Infections and aspiration pneumonitis were the most common reasons for rehospitalization, regardless of initial discharge site.

CONCLUSIONS:

Efforts addressing aspirations and infections, the preventable complications of immobility, will be critical in decreasing acute stroke bounce-backs.

PMID:
18032199
[PubMed - indexed for MEDLINE]
PMCID:
PMC2205988
Free PMC Article
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