Table 1.
Characteristics | No unplanned readmission (n = 1,463) |
30-day unplanned readmission (n = 194) |
P-value |
---|---|---|---|
Age [Years; Median (IQR)] | 68 (58–79) | 72 (62–82) | 0.014 |
Gender | 0.540 | ||
Female | 694 (47.4%) | 87 (44.8%) | |
Male | 769 (52.6%) | 107 (55.2%) | |
Race | 0.595 | ||
Asian | 39 (2.7%) | 5 (2.6%) | |
Black | 80 (5.5%) | 13 (6.7%) | |
Other | 119 (8.1%) | 20 (10.3%) | |
White | 1,216 (83.1%) | 156 (80.4%) | |
Ethnicity | 0.248 | ||
Hispanic | 131 (9.0%) | 21 (10.8%) | |
Non-hispanic | 1,316 (90.0%) | 173 (89.2%) | |
Unknown | 16 (1.1%) | 0 (0.0%) | |
Insurance | 0.410 | ||
Medicare | 843 (57.6%) | 120 (61.9%) | |
Medicaid | 198 (13.5%) | 17 (8.8%) | |
Commercial | 369 (25.2%) | 49 (25.3%) | |
Military | 25 (1.7%) | 5 (2.6%) | |
Others | 22 (1.5%) | 3 (1.5%) | |
Uninsured | 6 (0.4%) | 0 (0.0%) | |
Primary index admission diagnosis | 0.854 | ||
Ischemic | 1,139 (77.9%) | 150 (77.3%) | |
Hemorrhagic | 324 (22.1%) | 44 (22.7%) | |
Index admission NIHSS, Median (IQR) | 4 (1–10) | 5 (2–13) | 0.007 |
Index admission mRS, Median (IQR) | 0 (0–1) | 1 (0–2) | < 0.001 |
Pre-existing risk factors | |||
Hypertension | 1,085 (74.2%) | 157 (80.9%) | 0.043 |
Dyslipidemia | 1,305 (89.2%) | 149 (76.8%) | < 0.001 |
Diabetes | 424 (29.0%) | 77 (39.7%) | 0.003 |
History of prior | 354 (24.2%) | 94 (48.5%) | < 0.001 |
Stroke or TIA | |||
Atrial fibrillation | 369 (25.2%) | 69 (35.6%) | 0.003 |
Coronary artery disease | 273 (18.7%) | 70 (36.1%) | < 0.001 |
Congestive heart failure | 176 (12%) | 45 (23.2%) | < 0.001 |
Index admission medications | |||
Statin | 692 (47.3%) | 104 (53.6%) | 0.108 |
Antihypertensive | 934 (63.8%) | 138 (71.1%) | 0.046 |
Anti-glycemic | 337 (23.0%) | 42 (21.6%) | 0.716 |
Antiplatelet | 561 (38.3%) | 93 (47.9%) | 0.012 |
Oral anticoagulant | 189 (12.9%) | 41 (21.1%) | 0.003 |
Total cost ($), Median (IQR) | 18,179 (9,442–33,236) | 25,381 (13,283–46,667) | < 0.001 |
Length of Stay, Median (IQR) | 4 (2–7) | 5 (3–11) | < 0.001 |
LACE+ score, Median (IQR) | 70 (62–75) | 74 (67–79) | < 0.001 |
LACE+ score risk category | < 0.001 | ||
Medium risk (29–58) | 162 (11.0%) | 13 (6.7%) | |
Medium-high-risk (59–77) | 1,044 (71.4%) | 114 (58.8%) | |
High risk > 77 | 257 (17.6%) | 67 (34.5%) | |
Discharge status | < 0.001 | ||
Home | 638 (43.6%) | 47 (24.2%) | < 0.001 |
Short-term nursing facility | 224 (15.3%) | 50 (25.8%) | < 0.001 |
Inpatient rehabilitation | 582 (39.8%) | 97 (50.0%) | 0.008 |
Other | 19 (1.3%) | 0 (0.0%) | 0.154 |
Discharge status to home | 0.023 | ||
Routine | 444 (70.3%) | 24 (51.1%) | |
Home with services | 172 (27.2%) | 21 (44.7%) | |
Left against medical advice | 16 (2.5%) | 2 (4.3%) |
Data are median (IQR) or n (%). IQR, Interquartile Range; NIHSS, National Institutes of Health Stroke Scale; mRS, Modified Rankin Score; TIA, Transient ischemic attack.