Identifying factors associated with hospital readmissions among stroke patients in Taipei.

Kun Yang Chuang, Shwu Chong Wu, Ai Hsuan Sandra Ma, Yu Hui Chen, Chen Long Wu

研究成果: 雜誌貢獻文章

23 引文 斯高帕斯(Scopus)

摘要

Hospital readmissions contribute significantly to the cost of medical care, and may reflect unresolved problems at discharge or a lack of resources in post-hospital care. The purpose of this paper is to assess the effects of patient characteristics at discharge, the need for nursing care, discharge planning program, post-hospital care arrangements, and caregiver characteristics on readmissions of stroke patients. Patients discharged from neurological wards in seven hospitals in the Taipei area were recruited into the study. Surveys were conducted before their discharge, and at one month after discharge. Of the 489 patients included in the study, 24.3% were readmitted. After controlling for other variables, factors associated with readmissions were number of limitations in activities of daily living (ADL), first incidence of stroke, the need for wound nursing care, the adoption of a care plan, and the discharge locations. Contrary to expectation, age, length of stay, counseling before discharge, and caregiver burden were not associated with readmissions. The findings of this study indicate that ADL limitation is an effective predictor of readmissions. Increasing home nursing resources to meet the demand for wound nursing care may also be effective in reducing readmissions. Discharging patients into institutions for a short period of time may also prove to be more economically viable due to the reduction in readmissions.
原文英語
頁(從 - 到)117-128
頁數12
期刊The journal of nursing research : JNR
13
發行號2
出版狀態已發佈 - 2005

Keywords

  • hospital readmission
  • cerebrovascular accident
  • multivariate analysis

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