{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T05:21:18Z","timestamp":1787721678333,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,7,7]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Patients with intracerebral hemorrhage who undergo major neurosurgical procedures are at high risk for complications and early readmission. This study aimed to evaluate the association between readmission hospital site (index versus nonindex hospital) and patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">Using the 2016 to 2020 Nationwide Readmissions Database, we identified patients with intracerebral hemorrhage who underwent major neurosurgical procedures. The outcomes were discharge to home, in\u2010hospital mortality, subsequent readmission, length of stay, and hospitalization costs. After selecting covariates with the least absolute shrinkage and selection operator, we applied Fine\u2013Gray competing\u2010risks models for discharge to home, Cox proportional hazards models for in\u2010hospital mortality, and multivariable linear\/logistic models for costs, length of stay, and subsequent readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Among 7149 patients readmitted within 90\u2009days after surgery, 63.9% were readmitted to index hospitals and 36.1% were readmitted to nonindex hospitals. Readmissions to index hospital were associated with a higher likelihood of discharge to home (subdistribution hazard ratio, 1.21 [95% CI, 1.04\u20131.41];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.013) and lower hospitalization costs (\n                      <jats:italic toggle=\"no\">\u03b2<\/jats:italic>\n                      =\u221258\u2009588 [95% CI, \u201386\u2009359 to \u221230\u2009816];\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001). In\u2010hospital mortality, length of stay, and subsequent readmission rates did not differ significantly between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">In this nationally representative cohort of patients with intracerebral hemorrhage undergoing major neurosurgical procedures, readmission to index hospital within 90\u2009days is associated with higher likelihood of home discharge and lower costs. This pattern may reflect differences in continuity of information, hospital resources, and cross\u2010hospital care coordination, and suggests several potential targets for future system\u2010level improvement, including interoperable electronic health records, imaging access, tele\u2013neurocritical consultation, structured return pathways, and regional rehabilitation integration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.047569","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:21:24Z","timestamp":1783074084000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Readmission Hospital Site on Outcomes in Patients With Intracerebral Hemorrhage Undergoing Surgery: A Nationwide Cohort Study"],"prefix":"10.1161","volume":"15","author":[{"given":"Kaikai","family":"Liao","sequence":"first","affiliation":[{"name":"Affiliated Hospital of Jiujiang University","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Liu","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Jiujiang University","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Jiang","sequence":"additional","affiliation":[{"name":"Jiujiang Clinical Precision Medicine Research Center","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-5443","authenticated-orcid":false,"given":"Zhao","family":"Yang","sequence":"additional","affiliation":[{"name":"The affiliated Yongchuan Hospital of Chongqing Medical University","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9784-8475","authenticated-orcid":false,"given":"Liqi","family":"Shu","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center","place":["Pittsburgh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunyan","family":"Huang","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Jiujiang University","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yajing","family":"Cui","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Jiujiang University","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5823-3657","authenticated-orcid":false,"given":"Moxin","family":"Wu","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Jiujiang University","place":["Jiujiang, China"]},{"name":"Jiujiang Clinical Precision Medicine Research Center","place":["Jiujiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70340-0"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2019.02.016"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.05.270"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/dca23-0013"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(05)70233-6"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000069"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.112.667535"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.09.009"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.1190"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.013229"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.06.214"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2024-022798"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015085"},{"key":"e_1_3_2_16_2","doi-asserted-by":"crossref","unstructured":"Tipton K Leas BF Mull NK Siddique SM Greysen SR Lane\u2010Fall MB Tsou AY. 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