From the Guidelines
The average ICU days for readmission after 2 years of stroke is not explicitly stated in the provided evidence, but based on the information available, it can be inferred that the length of stay may vary significantly depending on individual patient factors, with a possible range of 3 to 7 days or more. Given the lack of direct evidence on ICU days for readmission after 2 years of stroke, it's essential to consider the factors that influence readmission and ICU length of stay, such as the severity of the original stroke, patient age, presence of comorbidities, and adherence to secondary prevention strategies 1. Some key points to consider in managing patients after stroke include:
- The importance of comprehensive discharge planning and follow-up care to reduce the risk of readmission 1
- The need for regular assessment of patients' capacity to perform activities of daily living 1
- The potential for rehabilitation therapies to improve motor and cognitive function, as well as address other domains such as communication, incontinence, and pain 1
- The impact of chronic comorbid conditions, episodic acute events, and access to assistive devices on stroke recovery and readmission risk 1 Healthcare providers should prioritize these factors to minimize the risk of readmission and optimize patient outcomes, including reducing the need for prolonged ICU stays.
From the Research
Average ICU Days for Readmission after 2 Years of Stroke
- There are no research papers to assist in answering this question as the provided studies do not mention the average ICU days for readmission after 2 years of stroke.
- The studies 2, 3, 4, 5, 6 focus on secondary stroke prevention, readmission causes and predictors, antiplatelet treatment options, and readmission risk factors, but do not provide information on average ICU days for readmission after 2 years of stroke.
Readmission Rates and Causes
- Readmission after stroke is frequent, with rates ranging from 18.8% to 31% within 1 year after discharge 3, 5.
- The most common causes of readmissions are infections, recurrent ischemic stroke, other cardiovascular events, and events related to index stroke 3, 5, 6.
- Readmission rates and causes vary according to time point for readmission, with early readmission (≤90 days) associated with older age, impaired physical function, and a higher risk factor burden 3.
Risk Factors for Readmission
- Increasing age, previous stroke/TIA, atrial fibrillation, coronary artery disease, having complications at the index hospitalization, longer length of stay, and dependency at discharge are independent predictors for readmission 5.
- Modifiable comorbidities, such as hypertension, diabetes, and depression, are also associated with increased risk of readmission 6.
- Social determinants, including living in an urban setting, living in zip-codes with the lowest median income, and having Medicare insurance, are also associated with increased readmission risk 6.