National characteristics and predictors of neurologic 30-day readmissions

Neurology
Elan L GutermanS Andrew Josephson

Abstract

To examine national 30-day readmission rates for patients hospitalized with neurologic disorders. Using the University HealthSystem Consortium (UHC) database, we identified 554,399 index neurologic admissions from October 2011 through January 2015. We collected information regarding age, race, insurance payer, Medicare severity diagnosis-related group, and severity of illness. We examined readmission by diagnosis and performed multivariable logistic regression to determine predictors of readmission. The unplanned readmission rate was 11.0%. Rates of unplanned readmission were highest for patients with peripheral nerve disorders (21.9%), CNS neoplasms (21.0%), nonhypertensive encephalopathy (15.5%), arterial stenosis (15.4%), and bacterial CNS infections (14.5%). In multivariable analysis, higher severity of illness and public health insurance coverage predicted higher rates of 30-day readmission. We found significant variation in readmission rates for different neurologic disorders. These data provide insight into management of neurologic disease nationally, offering policymakers realistic goals for standards of care and challenging health care providers to develop systems-based solutions that will improve transitions of care f...Continue Reading

References

Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Adrian F Hernandez, Lesley H Curtis
Mar 30, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Carl van WalravenAlan J Forster
Oct 27, 2011·JAMA : the Journal of the American Medical Association·Robert P Kocher, Eli Y Adashi
Mar 30, 2012·The New England Journal of Medicine·Karen E Joynt, Ashish K Jha
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Karen E Joynt, Ashish K Jha
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Douglas McCarthyAnne-Marie Audet
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Kumar DharmarajanHarlan M Krumholz
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Mark V Williams
Feb 5, 2013·Annals of Neurology·Stephen L Hauser, S Claiborne Johnston
Feb 14, 2013·JAMA : the Journal of the American Medical Association·Harlan M KrumholzSharon-Lise T Normand
Mar 26, 2013·Annals of Neurology·S Claiborne JohnstonStephen L Hauser
Jul 24, 2013·Medical Care Research and Review : MCRR·Matthew J PressKevin G Volpp
Nov 1, 2013·Stroke; a Journal of Cerebral Circulation·Judith H LichtmanLarry B Goldstein
Apr 8, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Josephine S LauCharles E Irwin
May 20, 2014·Neurology·James F BurkeDevin L Brown

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Citations

Oct 11, 2016·Neurologic Clinics·David S Younger, Joyce Moon-Howard
May 28, 2019·Neurology·Nicole RosendaleVanja C Douglas
Feb 23, 2020·Neurology·Samuel W Terman, James F Burke
Mar 15, 2020·Neurology·Sarah H PeacockJames M Naessens
Apr 13, 2017·The Neurohospitalist·Sidney T LeJohn C Probasco
Mar 28, 2019·The Neurohospitalist·John C ProbascoDavid Likosky
Jan 7, 2021·BMC Neurology·Ryan O'ConnellLouis Ehwerhemuepha
Apr 21, 2020·Neurology. Clinical Practice·Samuel W TermanJames F Burke
Jul 14, 2021·Epilepsy & Behavior : E&B·Cristina SchreckingerNathalie Jette

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