Review Article

Systematic Review of Hospital Readmissions in Stroke Patients

Table 4

Risk factors and their impact on all-cause, preventable, and cerebrovascular readmission rate.

Risk factorsNumber of studies with positive associationNumber of studies with negative associationNumber of studies with no significant association

Patient-related factors
Age81
Coronary heart disease4
Female gender43
Heart failure41
Renal disease4
Diabetes31
Peripheral arterial disease3
Respiratory disease3
Atrial fibrillation21
Cancer21
Comorbidity score2
Depression21
Prior hospitalisations2
Socioeconomic status2
Alcohol misuse1
Anaemia1
C difficile infection1
Dementia12
Hypertension13
Hypotension1
Immobility1
Marital status, married1
Non-Caucasian ethnicity111
Parkinson’s disease1
Pressure ulcers1
TIA1
Valvular heart disease/prosthetic valves1
Do not resuscitate order1
Hypercholesterolemia1
Obesity1
Previous stroke1
Rheumatic disorders1
Smoking1
Stroke-related factors
Length of stay3
Feeding tube1
Bowel incontinence1
Urinary catheter1
Bladder incontinence1
Signs and symptoms score1
Aphasia1
Hemiparesis1
Aspiration pneumonia1
Hospital care related factors
District hospitals with critical care access11
Treatment by neurologist11
Discharge to nursing home11
Specialised stroke centres1
Inpatient rehabilitation facility11
Use of ICU/HDU2
Endarterectomy1
Stenting1
Gastrostomy1
Intubation1
Dialysis1
Occupational therapy1
Thrombolysis2
Urgent scanning1