Examining the Relationship Between Stroke Severity and Readmission: Tailoring Patient and Family Education
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Background and Significance: Stroke is the leading cause of disability in the United States. Sequelae of stroke and common comorbid conditions put patients at risk for unplanned readmissions. Stroke readmissions at a comprehensive stroke center (CSC) in Buffalo, NY, were investigated to determine primary causes of unplanned readmissions. Purpose, Aims, and Objectives: The purpose of this project was to explore primary causes of 90-day stroke readmissions. The project specifically focused on whether there is a relationship between modified Rankin Scale (mRS) at time of discharge and 90-day readmission. Theoretical Framework: This project used Orem’s Self-Care Deficit Nursing Theory as a framework. Orem’s theory is particularly applicable to stroke patients, as it assists nurses in identifying the specific challenges faced by individual patients. Methods and Design: A retrospective chart review was used to collect data on patients with unplanned readmissions within 90 days. A Kruskal-Wallis test was used to determine whether there was a relationship between functional status and readmission. Results: The study demonstrates mRS at index discharge has a statistically significant effect on primary readmission diagnosis, X(4)= 9.572, p= 0.048. Conclusion: Some reasons for 90-day readmission are more common among patients with poor functional outcomes after stroke, while others are unrelated to functional status. Future Implications and Recommendations: Based on preliminary data, discharge education for stroke patients should be tailored to their functional status, with special consideration given to the patient’s ability to maintain his own health and wellness.