Serious Adverse Events Experienced by Survivors of Stroke in the First Year Following Discharge from Inpatient Rehabilitation
Open accessAbstract
PURPOSE: To identify the incidence of adverse events (AE) that occurred in stroke survivors during the first year following discharge from inpatient rehabilitation and to determine the type and patterns of AE. METHODS: Data were collected for 12 months on events resulting in admissions to the emergency department, hospital, long-term care facility, or death. Descriptive statistics were used to depict the patterns of AE and univariate comparisons were made of the differences between survivors who did or did not experience one or more AE. RESULTS: Of the 159 participants, 50% reported a total of 163 AE. Most AE (82.2%) were unexpected and the majority occurred during the first 6 months; 12 recurrent strokes and 6 transient ischemic attacks occcurred. CONCLUSIONS: Education on prevention and treatment of common AE is important prior to discharge. Anticipatory guidance may help survivors and caregivers modify their lifestyle and prevent common AE.
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Hip/femur fracture and stroke were chosen because they account for many SNF admissions and carry high risk of adverse outcomes.
“These conditions were selected as they constitute a high proportion of SNF admissions and are at high risk for adverse outcomes.36–38”
From Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies during Hospital to Skilled Nursing Facility Transitions (2021) · cites this paper as [38]
The Results > Unexpected Adverse Events section (page unavailable) reports serious adverse events among stroke survivors after inpatient rehabilitation, supporting the adverse-outcome rationale for stroke. The paper does not establish that stroke or hip/femur fracture accounts for a high proportion of SNF admissions, or assess adverse-outcome risk among patients admitted for hip/femur fracture. (LLM, conf=0.87)
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- Authors
- Ostwald, S. K., Godwin, K. M., Ye, F., & Cron, S. G.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Corresponding author
- Ostwald, Sharon K.
- Venue
- Rehabilitation Nursing
- Published
- 2013-09
- Volume
- 38
- Issue
- 5
- Pages
- 254-263
- ISSN
- 0278-4807 (ISSN-L)
- PMC
- PMC3751976
- OpenAlex
- W2144283512
- Cited by
- 19
- References
- 49
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Rehabilitation Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (R01NR005316)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- stroke survivors, adverse events, post-discharge outcomes, inpatient rehabilitation, stroke recurrence, transient ischemic attack, emergency department visits, hospital readmission, long-term care admission, anticipatory guidance, patient education, secondary stroke prevention
- MeSH terms
- Stroke Rehabilitation, Aged, Ischemic Attack, Transient, Female, Humans, Male, Middle Aged, Patient Discharge, Recurrence, Incidence, Survivors, Rehabilitation Nursing, Stroke
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