Outcome and hospital-clinic cooperation in acute brain infarction.

Hashimoto, Yoichiro; Terasaki, Tadashi; Ikeno, Koichi; Kasuya, Junji; Uchino, Makoto

doi:10.3995/jstroke.21.200

Cited by 5 publications

(2 citation statements)

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“…Tokunaga et al reported that for patients with stroke, a later transfer from an acute hospital to a convalescent rehabilitation ward was associated with a lower initial FIM and higher rates of patient death or transfer to an acute care hospital (19). In addition, complications have been reported as the main cause of long-term hospitalization for patients with acute stroke (20). These findings suggest that days from onset to hospitalization could reflect patients' physical status in an acute care hospital.…”

Section: Discussionmentioning

confidence: 89%

Predictive factors associated with poor outcomes for older adult inpatients in the convalescent rehabilitation ward

et al. 2020

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This study aimed to determine predictive factors associated with poor outcomes among older adult inpatients in the convalescent rehabilitation ward. We also examined the validity of factors that were identified as predictive of poor outcomes. Study subjects were 104 older adult inpatients in the convalescent rehabilitation ward, divided into two groups based on outcome at discharge. Group I included the outcomes of death or transfer to an acute care hospital and Group II included all other outcomes. Data were retrospectively collected from older adults' medical records, including: activities of daily living, swallowing grade, nutritional index, and blood biochemistry data. Logistic regression analysis was used to extract predictive factors associated with poor outcomes. Next, we calculated the Stratum-specific likelihood ratio (SSLR) for each extracted factor. Two items were extracted as predictive factors with AUCs ≥ 0.7 : N-terminal pro-brain natriuretic peptide (NT-proBNP) and days from onset to hospitalization. The SSLRs showed the risk for a poor outcome increased when NT-proBNP was ≥ 2500 pg / ml, and when there were ≥ 35 days from onset to hospitalization. Our findings suggest these predictive factors provide a valid index to predict poor outcomes among older adults from the early stage of admission.

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Section: Discussionmentioning

confidence: 89%

Predictive factors associated with poor outcomes for older adult inpatients in the convalescent rehabilitation ward

et al. 2020

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“…The requirement for rehabilitation transfer is an important outcome in all inpatients with AIS [ 22 ]. It is also a serious problem for patients undergoing dialysis, whose average age increases, reflecting ADL decline and dialysis tolerance after admission [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Prognostic factors for acute ischemic stroke in patients undergoing hemodialysis

et al. 2021

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Background Acute ischemic stroke (AIS) is a critical complication in patients undergoing dialysis. Although the improvement of AIS management is an urgent requirement, few studies have evaluated the prognostic factors of AIS in these patients. This study aimed to assess the relationship between clinical factors in patients undergoing dialysis and the prognosis of AIS. Methods Among 1267 patients who were hospitalized for AIS in Sendai City Hospital from January 2015 to June 2020, 81 patients undergoing hemodialysis were retrospectively enrolled. Multivariate analysis was performed to evaluate the effect of baseline characteristics, dialysis factors, and neurological severity of patients at admission [National Institutes of Health Stroke Scale (NIHSS) score] on in-hospital mortality, physical disability, and the need for rehabilitation transfer. Results A higher NIHSS score was a critical risk factor for each outcome and the only significant factor for in-hospital mortality [odds ratio (OR)/point 1.156, 95% confidence interval (CI) 1.054–1.267]. The risk factors of physical disability were NIHSS score (OR/point 1.458, 95% CI 1.064–1.998), older age (OR/year 1.141, 95% CI 1.022–1.274), diabetic nephropathy (OR 7.096, 95% CI 1.066–47.218), and higher premorbid modified Rankin scale (mRS) score (OR/grade 2.144, 95% CI 1.155–3.978); while those of rehabilitation transfer were a higher NIHSS score (OR/point 1.253, 95% CI 1.080–1.455), dialysis vintage (OR/year 1.175, 95% CI 1.024–1.349), and intradialytic hypotension before onset (OR 5.430, 95% CI 1.320–22.338). Conclusions Along with neurological severity, dialysis vintage, intradialytic hypotension, and diabetic nephropathy could worsen the prognosis of patients with AIS undergoing hemodialysis.

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Critical Pathway and Hospital-Hospital Cooperation in Acute Stroke Reduction of the Length of Hospital Stay

et al. 2000

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Stroke patients tend to stay longer in one hospital compared to patients with other neurological disease. After the introduction of 3 types of critical pathway dedicated for various severity of acute ischemic stroke in 1995, the average length of in-hospital days declined from 30.0 days (1993) to 15.3 days (1998), ie 49% reduction. This reduction was achieved by the use of critical pathway and the hospital-hospital cooperation.

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Outcome and hospital-clinic cooperation in acute brain infarction.

Cited by 5 publications

References 0 publications

Predictive factors associated with poor outcomes for older adult inpatients in the convalescent rehabilitation ward

Predictive factors associated with poor outcomes for older adult inpatients in the convalescent rehabilitation ward

Prognostic factors for acute ischemic stroke in patients undergoing hemodialysis

Critical Pathway and Hospital-Hospital Cooperation in Acute Stroke Reduction of the Length of Hospital Stay

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