{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T16:20:30Z","timestamp":1786810830618,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>Readmissions after stroke are common and appear to be associated with comorbidities or disability-related characteristics. In this study, we aimed to determine the patient and health-system level factors associated with all-cause and unplanned hospital readmission within 90 days after acute stroke or transient ischemic attack (TIA) in Australia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>\n              We used person-level linkages between data from the Australian Stroke Clinical Registry (2009\u20132013), hospital admissions data and national death registrations from 4 Australian states. Time to first readmission (all-cause or unplanned) for discharged patients was examined within 30, 90, and 365 days, using competing risks regression to account for deaths postdischarge. Covariates included age, stroke severity (ability to walk on admission), stroke type, admissions before stroke\/TIA and the Charlson Comorbidity Index (derived from\n              <jats:italic>International Statistical Classification of Diseases and Related Health Problems, Tenth Revision<\/jats:italic>\n              , [Australian modified] coded hospital data in the preceding 5 years).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>Among the 13\u2009594 patients discharged following stroke\/TIA (45% female; 65% ischemic stroke; 11% intracerebral hemorrhage; 4% undetermined stroke; and 20% TIA), 25% had an all-cause readmission and 15% had an unplanned readmission within 90 days. In multivariable analyses, the factors independently associated with a greater risk of unplanned readmission within 90 days were being female (subhazard ratio, 1.13 [95% CI, 1.03\u20131.24]), greater Charlson Comorbidity Index scores (subhazard ratio, 1.11 [95% CI, 1.09\u20131.12]) and having an admission \u226490 days before the index event (subhazard ratio, 1.85 [95% CI, 1.59\u20132.15]). Compared with being discharged to rehabilitation or aged care, those who were discharged directly home were more likely to have an unplanned readmission within 90 days (subhazard ratio, 1.44 [95% CI, 1.33\u20131.55]). These factors were similar for readmissions within 30 and 365 days.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>Apart from comorbidities and patient-level characteristics, readmissions after stroke\/TIA were associated with discharge destination. Greater support for transition to home after stroke\/TIA may be needed to reduce unplanned readmissions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.119.026133","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T10:00:25Z","timestamp":1576058425000},"page":"571-578","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":41,"title":["Factors Associated With 90-Day Readmission After Stroke or Transient Ischemic Attack"],"prefix":"10.1161","volume":"51","author":[{"given":"Monique F.","family":"Kilkenny","sequence":"first","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"},{"name":"The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia (M.F.K., J.K., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan L.","family":"Dalli","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joosup","family":"Kim","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"},{"name":"The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia (M.F.K., J.K., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Sundararajan","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora VIC, Australia (V.S.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine E.","family":"Andrew","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"},{"name":"Peninsula Clinical School, Central Clinical School, Monash University, Frankston, VIC, Australia (N.E.A.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen M.","family":"Dewey","sequence":"additional","affiliation":[{"name":"Eastern Health Clinical School, Monash University, Box Hill, VIC, Australia (H.M.D.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Johnston","sequence":"additional","affiliation":[{"name":"Statistical Services Branch, Queensland Department of Health, Brisbane, Australia (T.J.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheikh M.","family":"Alif","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard I.","family":"Lindley","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, Sydney, NSW, Australia (R.I.L.)"},{"name":"The University of Sydney, NSW, Australia (R.I.L.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Jude","sequence":"additional","affiliation":[{"name":"Wagga Wagga Hospital, NSW, Australia (M.J.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Blacker","sequence":"additional","affiliation":[{"name":"Sir Charles Gairdner Hospital, Nedlands, WA, Australia (D.B.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisal","family":"Gange","sequence":"additional","affiliation":[{"name":"Toowoomba Hospital, South Toowoomba, QLD, Australia (N.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Grimley","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"},{"name":"Sunshine Coast Clinical School, University of Queensland, Birtinya, Australia (R.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith M.","family":"Katzenellenbogen","sequence":"additional","affiliation":[{"name":"School of Population and Global Health, The University of Western Australia, Perth (J.M.K.)"},{"name":"Telethon Kids Institute, The University of Western Australia, WA (J.M.K.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda G.","family":"Thrift","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha A.","family":"Lannin","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia (N.A.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (M.F.K., L.L.D., J.K., N.E.A., S.M.A., R.G., A.G.T., D.A.C.)"},{"name":"The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia (M.F.K., J.K., D.A.C.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Stroke123 Investigators and AuSCR Consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30499-X"},{"key":"e_1_3_4_3_2","unstructured":"Deloite Access Economics. 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