Disclosures: Matthew Tay: No financial relationships or conflicts of interest

Objective: To examine prevalence and risk factors for re-hospitalization after inpatient rehabilitation in stroke patients, within 1 year post stroke, in a developed multi-ethnic Southeast Asian country.

Design: Retrospective cohort study.Setting : Tertiary rehabilitation center.Participants : 1235 stroke survivors who completed inpatient rehabilitation.

Interventions: None.

Main Outcome Measures: 1st re-hospitalization within the 1st year after stroke and causes for readmission. Risk factors for re-hospitalization were also analyzed.

Results: A majority of patients were male (63.8%). There were 50.4% patients who had a stroke of hemorrhagic origin, with the rest experiencing ischemic strokes. There were 296 (24.0%) stroke survivors who were re-hospitalized in the 1st year. In multivariate analysis, significant risk factors for re-hospitalization of patients in the 1st year post-stroke were an older age (p=0.027), a lower admission FIM (Functional Independence Measure) motor (p=0.001) and cognition score (p=0.025), a Charlson Comorbidity Index (CCI) ≥1 (p < 0.001) and the presence of at least 1 medical complication during initial hospitalization (p < 0.001). A FIM gain of at least 10 points was found to be associated with a lower risk of re-hospitalization (p=0.001). Common causes for re-hospitalization include recurrent stroke, falls, seizures and pneumonia.Conclusions: Re-hospitalization rates are high in stroke patients in the first year after the event. Further studies are needed to determine relevant interventions during and after stroke rehabilitation such as discharge planning, physician follow-up, aggressive management of cardiovascular risk factors and continued rehabilitation, which may reduce re-hospitalization rates.

Level of Evidence: Level II

« Back to AAPM&R Annual Assembly 2021

PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/re-hospitalization-within-1-year-after-stroke-rehabilitation-an-asian-cohort/