Evidence map›Paper›PMID 40296933›Full record

ArticleCureus2025

Predictors of In-Hospital Mortality Among Patients With Acute Stroke: Insights From the Healthcare Cost and Utilization Project (HCUP) Nationwide Readmission Database.

Azhar Ushmani, Sandipkumar Patel, Priji Prasad Jalaja, Dheeraj Kommineni, Chrishanti Anna Joseph, Naga Venkata Satish Babu Bodapati

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Azhar UshmaniDepartment of Information Security, Amazon Web Service (AWS), Dallas, USA.
Sandipkumar PatelIndependent Research, Gujarat Technological University, Ahmedabad, IND.
Priji Prasad JalajaDepartment of Surgery, Emory University, Atlanta, USA.
Dheeraj KommineniDepartment of Systems Analytics, Hanker Systems Inc., Chantilly, USA.
Chrishanti Anna JosephDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, USA.
Naga Venkata Satish Babu BodapatiDepartment of Psychiatry and Behavioral Sciences, Sunshine Behavioral Health Services, Bakersfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute stroke (cerebral infarction) is a leading cause of morbidity and mortality worldwide, with patient outcomes influenced by demographic factors, comorbidities, and hospital characteristics. This study examines the differences in baseline characteristics, comorbidities, and hospital-related factors between survivors and non-survivors of acute stroke.

methodsThis study analyzed the 2023 Nationwide Readmission Database (NRD) data to identify predictors of in-hospital mortality in acute stroke (cerebral infarction). Patients were identified using the International Classification of Diseases, 10th Revision (ICD-10) codes, and exclusions included missing data, December admissions, and 30-day readmissions. Multivariable logistic regression assessed mortality risk factors, adjusting for demographics, comorbidities, and hospital characteristics (p < 0.05).

resultsNon-survivors had a significantly higher median age (73 years vs. 71 years, p < 0.001) and included a slightly higher proportion of women (48.8% vs. 47.2%, p < 0.001). The prevalence of comorbidities, including cardiac arrest (11.9% vs. 0.7%), heart failure (35.1% vs. 0.7%), and respiratory failure (71.2% vs. 11.7%), was markedly higher among non-survivors (p < 0.001 for all). Hospitalization costs were significantly greater for non-survivors ($122,763.67 vs. $56,497, p < 0.001), and the length of stay was longer (seven days vs. four days, p < 0.001). Most admissions occurred in private non-profit hospitals, with large hospitals treating a higher proportion of non-survivors (p < 0.001).

conclusionThe study highlights critical factors influencing stroke mortality, including advanced age, cardiovascular and metabolic comorbidities, and hospital resource utilization. These findings emphasize the need for early risk stratification, targeted intervention strategies, and equitable healthcare access to improve survival rates among high-risk stroke patients.

Indexed as

30-day readmissionsacute strokecerebral infarctionhcuphealthcare cost and utilization projecthospitalization costsmortality ratenational readmission databaseprivate non-profit hospitals

Identifiers

PMID40296933
PMCPMC12035578

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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.