ArticleJournal of the American Geriatrics Society2007
Bouncing back: patterns and predictors of complicated transitions 30 days after hospitalization for acute ischemic stroke.
Article in Journal of the American Geriatrics Society, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.
- Prevalence, causes and risk factors of hospital readmissions after acute stroke and transient ischemic attack: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016Pooled it
- Rehabilitation Transition Program to Improve Community Participation Among Stroke Survivors: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Ethnic Differences in Postacute Stroke Rehabilitation.Archives of physical medicine and rehabilitation · 2026Observational
- Post-Acute Rehabilitation Placement After Acute Ischemic Stroke Is Associated With Non-Clinical Factors Despite Similar Clinical Profiles.medRxiv : the preprint server for health sciences · 2026Article
- Assessment of Antimicrobial Transition Errors from Hospitals to Skilled Nursing Facilities.Open forum infectious diseases · 2026Article
- Identifying Key Predictors of Appropriate Discharge Destinations for Older Inpatients in Acute Care: Scoping Review.Interactive journal of medical research · 2026Review
- Referral to Community-Based Rehabilitation Following Acute Stroke: Findings From the COMPASS Pragmatic Trial.Circulation. Cardiovascular quality and outcomes · 2024Observational
- Study protocol for a nested process evaluation of a complex discharge planning intervention (HOME Rehab) to improve participation after first-stroke.Frontiers in neurology · 2024Article
- Are early post-discharge physician contacts associated with 30-day psychiatric re-hospitalisation? A nationwide claims data based retrospective cohort study in Austria free of immortal time bias.International journal of methods in psychiatric research · 2023Article
- Stroke nurse navigator utilization reduces unplanned 30-day readmission in stroke patients treated with thrombolysis.Frontiers in neurology · 2023Article
- Methods and early recruitment of the Brain Attack Surveillance in Corpus Christi-Post-acute Care (BASIC-PAC) Project.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022Article
- A Multi-Component Transition of Care Improvement Project to Reduce Hospital Readmissions Following Ischemic Stroke.The Neurohospitalist · 2022Article
- Association between the LACE+ index and unplanned 30-day hospital readmissions in hospitalized patients with stroke.Frontiers in neurology · 2022Article
- Patient Factors Associated With Attendance at a Comprehensive Postacute Stroke Visit: Insight From the Vanguard Site.Archives of rehabilitation research and clinical translation · 2020Article
- Role of Post-Acute Care on Hospital Readmission After High-Risk Surgery.The Journal of surgical research · 2019Article
- Race Differences in Gastrostomy Tube Placement After Stroke in Majority-White, Minority-Serving, and Racially Integrated US Hospitals.Dysphagia · 2018Article
- A Person-Centered Approach to Poststroke Care: The COMprehensive Post-Acute Stroke Services Model.Journal of the American Geriatrics Society · 2018Article
- Risk Factors for Hospitalization of Home Hospice Enrollees Development and Validation of a Predictive Tool.The American journal of hospice & palliative care · 2017Article
- Mexican Americans Receive Less Intensive Stroke Rehabilitation Than Non-Hispanic Whites.Stroke · 2017Article
- Many Neurology Readmissions Are Nonpreventable.The Neurohospitalist · 2017Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo identify predictors of complicated transitions within 30 days after discharge from hospitalization for acute stroke.
designRetrospective analysis of administrative data.
settingFour hundred twenty-two hospitals in the southern and eastern United States.
participantsThirty-nine thousand three hundred eighty-four Medicare beneficiaries aged 65 and older discharged after acute ischemic stroke from 1998 to 2000. MEASUREMENTS: Complicated transition, defined as movement from less- to more-intensive care setting after hospital discharge, with hospital being most intensive and home without home health care being least intensive.
resultsTwenty percent of patients experienced at least one complicated transition; 16% of those experienced more than one complicated transition. After adjustment using logistic regression, factors predicting any complicated transition included older age, African-American race, Medicaid enrollment, prior hospitalization, gastrostomy tube, chronic disease, length of stay, and discharge site. Patients with multiple complicated transitions were more likely to be African American (odds ratio (OR)=1.38, 95% confidence interval (CI)=1.13-1.68), be male (OR=1.21, 95% CI=1.04-1.40), have a prior diagnosis of fluid and electrolyte disorder (e.g., dehydration) (OR=1.23, 95% CI=1.07-1.43), have a prior hospitalization (OR=1.18, 95% CI=1.01-1.36), and be initially discharged to a skilled-nursing facility or long-term care (OR=1.22, 95% CI=1.04-1.44) than patients with only one complicated transition. They were less likely to be initially discharged to a rehabilitation center (OR=0.71, 95% CI=0.57-0.89).
conclusionSignificant numbers of stroke patients experience complicated transitions soon after hospital discharge. Sociodemographic factors and initial discharge site distinguish patients with multiple complicated transitions. These factors may enable prospective identification and targeting of stroke patients at risk for "bouncing back."
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.