ArticleJournal of the American Geriatrics Society2008
The price of bouncing back: one-year mortality and payments for acute stroke patients with 30-day bounce-backs.
Article in Journal of the American Geriatrics Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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Who cites it
21 citing papers in PubMed.
- Assessment of Antimicrobial Transition Errors from Hospitals to Skilled Nursing Facilities.Open forum infectious diseases · 2026Article
- Effects of the National Institutes of Health Stroke Scale and Modified Rankin Scale on Predictive Models of 30-Day Nonelective Readmission and Mortality After Ischemic Stroke: Cohort Study.JMIR medical informatics · 2025Article
- Acute stroke care coordination in the United States: Variation in state laws for Emergency Medical Services and hospitals.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025Article
- Social Determinants of Health and the Use of Community-Based Rehabilitation Following Stroke: Methodologic Considerations.Archives of rehabilitation research and clinical translation · 2024Article
- Rapid systematic review of readmissions costs after stroke.Cost effectiveness and resource allocation : C/E · 2024Review
- Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies During Hospital to Skilled Nursing Facility Transitions.Journal of geriatric psychiatry and neurology · 2021Article
- Admission and Readmission/Death Patterns in Hospitalized and Non-hospitalized First-Ever-in-a-Lifetime Stroke Patients During the First Year: A Population-Based Incidence Study.Frontiers in neurology · 2021Article
- Prediction of 30-Day Readmission After Stroke Using Machine Learning and Natural Language Processing.Frontiers in neurology · 2021Article
- Relationship between early follow-up and readmission within 30 and 90 days after ischemic stroke.Neurology · 2020Article
- Risk factors associated with 31-day unplanned readmission in 50,912 discharged patients after stroke in China.BMC neurology · 2018Article
- Association Between Early Outpatient Visits and Readmissions After Ischemic Stroke.Circulation. Cardiovascular quality and outcomes · 2018Article
- The Impact of Ischaemic Stroke Subtype on 30-day Hospital Readmissions.Stroke research and treatment · 2018Article
- A population-based study for 30-d hospital readmissions after acute ischemic stroke.The International journal of neuroscience · 2017Article
- Ethnic Comparison of 30-Day Potentially Preventable Readmissions After Stroke in Hawaii.Stroke · 2016Article
- Exploring the predictors of early readmission to psychiatric hospital.Epidemiology and psychiatric sciences · 2016Article
- Patient-level costs of major cardiovascular conditions: a review of the international literature.ClinicoEconomics and outcomes research : CEOR · 2016Review
- Predictors of 30-day readmission after intracerebral hemorrhage: a single-center approach for identifying potentially modifiable associations with readmission.Critical care medicine · 2013Observational
- The consequences of poor communication during transitions from hospital to skilled nursing facility: a qualitative study.Journal of the American Geriatrics Society · 2013Article
- Avoidable 30-day readmissions among patients with stroke and other cerebrovascular disease.The Neurohospitalist · 2012Article
- Discharge destination's effect on bounce-back risk in Black, White, and Hispanic acute ischemic stroke patients.Archives of physical medicine and rehabilitation · 2010Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo examine 1-year mortality and healthcare payments of stroke patients experiencing zero, one and two or more bounce-backs within 30 days of discharge.
designRetrospective analysis of administrative data.
settingFour hundred twenty-two hospitals in the southern and eastern United States.
participantsEleven thousand seven hundred twenty-nine Medicare beneficiaries aged 65 and older surviving at least 30 days with acute ischemic stroke in 2000. MEASUREMENTS: One-year mortality and predicted total healthcare payments were calculated using log-normal parametric survival analysis and quantile regression, respectively. Models included sociodemographics, prior medical history, stroke severity, length of stay, and discharge site.
resultsCrude survival at 1 year for the zero, one and two or more bounce-back groups was 83%, 67%, and 55%, respectively. The one bounce-back group had 49% shorter (time ratio (TR)=0.51, 95% confidence interval (CI)=0.46-0.56) and the two or more bounce-backs group had 68% shorter (TR=0.32, 95% CI=0.27-0.38) adjusted 1-year survival time than the zero bounce-back group. For high- and low-cost patients, adjusted predicted payments were greater with each additional bounce-back experienced.
conclusionAcute stroke patients experiencing bounce-backs within 30 days have strikingly poorer survival and higher healthcare payments over the subsequent year than their counterparts with no bounce-backs. Bounce-backs may serve as a simple predictor for identifying stroke patients at extremely high risk for poor outcomes.
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