ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2022
Readmission Rates in Stroke Patients with and without Infections: Incidence and Risk Factors.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Risk factors analysis and nomograph model construction of unplanned readmission for ischemic stroke within 31 days in Wenzhou.Frontiers in neurology · 2025Article
- Identifying determinants of readmission and death post-stroke using explainable machine learning.PloS one · 2025Observational
- Identification of risk factors and construction of a nomogram predictive model for post-stroke infection in patients with acute ischemic stroke.World journal of clinical cases · 2024Article
- Nurse-Led Tele-Education Improves Self-Efficacy and Reduces Stroke Readmissions: A Quasi-Experimental Study.Telemedicine reportsArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundStroke patients are at increased risk for acquiring infections in the hospital and risk of readmission. We aimed to examine whether an infection acquired during the initial stroke admission contributes to increased risk of readmission and infection during readmission.
methodsWe performed a retrospective cohort study incorporating all adult ischemic stroke patients from three New York City hospitals from 2006 to 2016. A validated computer algorithm defined infections based on electronically-available laboratory culture data. Multivariable logistic regression was used to evaluate the crude and adjusted association of infections present on admission (IPOA) and healthcare-associated infections (HAI) with 60-day readmissions, and infection during readmission.
resultsAmong the 10,436 stroke patients, 17% had infections during initial admission of which 52% were IPOA and 48% were HAI. The risk of readmission was significantly higher for those with HAIs (OR = 1.40; 95% CI: 1.20-1.64) and IPOA (OR = 1.26; 95% CI: 1.09-1.47). The presence of infection during the 60-day readmission was also independently predicted by HAI (OR = 3.27; 95% CI: 2.60-4.12) and IPOA (OR = 2.54; 95% CI: 2.01-3.22). Patients with a Gram-negative infection were not at higher odds for readmission compared to patients with a Gram-positive infection (OR 1.07, 95%CI 0.81-1.42).
conclusionAmong stroke patients, HAI and IPOA were predictors of readmission within 60 days and infection during readmission.
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