Recordings from the 2025 Annual Conference-Risk For Hospital Readmission For Neurovascular Patients

Video Transcription

Video Summary

The presentation examined readmission risk after ischemic stroke, hemorrhagic stroke, or TIA, emphasizing opportunities for collaboration between neurovascular and primary-care APRNs. In a retrospective, one-year study of 876 patients, 317 (about 35%) had at least one readmission, with 703 readmissions recorded. Most occurred within 30 days; hemorrhagic-stroke patients were especially likely to return during that period. The findings reflect only readmissions within the researchers’ hospital system.<br /><br />Readmission causes were complex and not solely neurological. Significant predictors included prior stroke, carotid stenosis, depression, dyslipidemia, heart failure, hypertension, renal insufficiency, insurance type, and length of stay. The speakers highlighted the links between chronic conditions, medication access, social circumstances, and neurological outcomes. Infection is an important concern, though the study did not identify enough infection-related data to draw conclusions.<br /><br />Rather than proposing a universal risk checklist, the speakers urged teams to communicate clearly about each patient’s needs, follow-up appointments, and care responsibilities. Discussion participants shared discharge checklists and readmission reviews, and stressed notifying primary-care providers. The group also noted ongoing challenges in screening for depression and distinguishing preventable readmissions from those outside hospital control.

Keywords

ischemic stroke

hemorrhagic stroke

TIA

readmission risk

APRNs

hospital readmission

care coordination