Factors Associated With 30-Day Readmission After Ischemic Stroke Patients in Nangrong Hospital

Abstract

Background: The incidence of ischemic stroke is increasing and is a major cause of mortality and disability. Hospital readmission is associated with higher mortality rates and can indicate the quality of inpatient care and discharge planning.
Objective: To evaluate the rate and associated factors of 30-day hospital readmission among patients with acute ischemic stroke.
Methods: This retrospective cohort study examined the rate and factors associated with hospital readmission among 254 patients aged 15 years and older diagnosed with acute ischemic stroke in Nang Rong district from October 1^st, 2023, to September 30^th, 2024. Data was collected from medical records and the hospital database (HosXP). Data analysis was performed using univariable and multivariate analyses at a 95% confidence interval (95% CI), and results were reported as Relative Risk (RR), adjusted Odds Ratio (ORadj), and P-value.
Results: The30-day hospital readmission rate at Nang Rong Hospital was 18.1%. Factors significantly associated with 30-day readmission included dependency (ORadj = 3.3, 95% CI = 1.29–8.39, p = 0.01) and atrial fibrillation (ORadj = 3.2, 95% CI = 1.03–8.86, p = 0.04).
Conclusion: The 30-day hospital readmission rate was 18.1%. Dependency and atrial fibrillation were significantly associated with 30-day hospital readmission. These findings can inform more effective patient care and discharge planning strategies.