Infections Increase Risk of Readmission among Stroke Survivors
|
By HospiMedica International staff writers Posted on 20 Nov 2018 |
|
Patients with ischemic stroke who acquire an infection during hospitalization have an increased risk of being readmitted within 30 days, according to a new study.
Researchers at Columbia University (New York, NY, USA) and Columbia University College of Physicians and Surgeons (New York, NY, USA) conducted a study of the U.S. 2013 National Readmission Database, which included 319,317 adults hospitalized for ischemic stroke. The study assessed the relationship between common infections (defined as sepsis, pneumonia, and urinary tract infection) during hospitalization and 30-day readmission rates. The researchers also reviewed tissue-type plasminogen activator (tPA) administration.
The results revealed that 29% of the stroke patients had an infection during their index hospitalization, and 12.1% were readmitted within 30 days. Patients with infection during their stroke admission had 21% higher odds of being readmitted than patients without infections. When analyzed for specific types of infections, the researchers found more common infections, such as urinary tract infections, increased the risk of 30-day readmission by 10%, possibly because urinary tract infections are more common than pneumonia. The study was published on November 1, 2018, in Stroke.
“It appears that ischemic stroke patients who develop a urinary tract infection in the hospital may be candidates for earlier follow-up and closer monitoring by their healthcare team,” said lead author epidemiologist Amelia Boehme, PhD, MPH, of Columbia University. “We suspect the reason the association was so much stronger for urinary tract infections was that urinary tract infections are very common compared to other infections, so the association was significant.”
A UTI is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter inserted into the bladder through the urethra to drain urine, which are indicated in between 15-25% of hospitalized patients. The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter.
Related Links:
Columbia University
Columbia University College of Physicians and Surgeons
Researchers at Columbia University (New York, NY, USA) and Columbia University College of Physicians and Surgeons (New York, NY, USA) conducted a study of the U.S. 2013 National Readmission Database, which included 319,317 adults hospitalized for ischemic stroke. The study assessed the relationship between common infections (defined as sepsis, pneumonia, and urinary tract infection) during hospitalization and 30-day readmission rates. The researchers also reviewed tissue-type plasminogen activator (tPA) administration.
The results revealed that 29% of the stroke patients had an infection during their index hospitalization, and 12.1% were readmitted within 30 days. Patients with infection during their stroke admission had 21% higher odds of being readmitted than patients without infections. When analyzed for specific types of infections, the researchers found more common infections, such as urinary tract infections, increased the risk of 30-day readmission by 10%, possibly because urinary tract infections are more common than pneumonia. The study was published on November 1, 2018, in Stroke.
“It appears that ischemic stroke patients who develop a urinary tract infection in the hospital may be candidates for earlier follow-up and closer monitoring by their healthcare team,” said lead author epidemiologist Amelia Boehme, PhD, MPH, of Columbia University. “We suspect the reason the association was so much stronger for urinary tract infections was that urinary tract infections are very common compared to other infections, so the association was significant.”
A UTI is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter inserted into the bladder through the urethra to drain urine, which are indicated in between 15-25% of hospitalized patients. The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter.
Related Links:
Columbia University
Columbia University College of Physicians and Surgeons
Gold Member
SARS‑CoV‑2/Flu A/Flu B/RSV Sample-To-Answer Test
SARS‑CoV‑2/Flu A/Flu B/RSV Cartridge (CE-IVD)
LED Surgical Lamp
ACEMST35/57
Hemostatic Agent
HEMOBLAST Bellows
Latest Critical Care News
- Ingestible Capsule Monitors Intestinal Inflammation
- Wireless Implantable Sensor Enables Continuous Endoleak Monitoring
- Pulse Oximeter Index Offers Non-Invasive Guides for Fluid Therapy
- Wearable Patch for Early Skin Cancer Detection to Reduce Unnecessary Biopsies
- 'Universal' Kidney to Match Any Blood Type
- Light-Based Technology to Measure Brain Blood Flow Could Diagnose Stroke and TBI
- AI Heart Attack Risk Assessment Tool Outperforms Existing Methods
- Smartphone Imaging System Enables Early Oral Cancer Detection
- Swallowable Pill-Sized Bioprinter Treats GI Tract Injuries
- Personalized Brain “Pacemakers” Could Help Patients with Hard-To-Treat Epilepsy
- Microscopic DNA Flower Robots to Enable Precision Medicine Delivery
- Origami Robots to Deliver Medicine Less Invasively and More Effectively
- Improved Cough-Detection Technology Aids Health Monitoring
- AI Identifies Children in ER Likely to Develop Sepsis Within 48 Hours
- New Radiofrequency Therapy Slows Glioblastoma Growth
- Battery-Free Wireless Multi-Sensing Platform Revolutionizes Pressure Injury Detection
Channels
Surgical Techniques
view channel
Robotic Assistant Delivers Ultra-Precision Injections with Rapid Setup Times
Age-related macular degeneration (AMD) is a leading cause of blindness worldwide, affecting nearly 200 million people, a figure expected to rise to 280 million by 2040. Current treatment involves doctors... Read more
Minimally Invasive Endoscopic Surgery Improves Severe Stroke Outcomes
Intracerebral hemorrhage, a type of stroke caused by bleeding deep within the brain, remains one of the most challenging neurological emergencies to treat. Accounting for about 15% of all strokes, it carries... Read more
Patient Care
view channel
Revolutionary Automatic IV-Line Flushing Device to Enhance Infusion Care
More than 80% of in-hospital patients receive intravenous (IV) therapy. Every dose of IV medicine delivered in a small volume (<250 mL) infusion bag should be followed by subsequent flushing to ensure... Read more
VR Training Tool Combats Contamination of Portable Medical Equipment
Healthcare-associated infections (HAIs) impact one in every 31 patients, cause nearly 100,000 deaths each year, and cost USD 28.4 billion in direct medical expenses. Notably, up to 75% of these infections... Read more
Portable Biosensor Platform to Reduce Hospital-Acquired Infections
Approximately 4 million patients in the European Union acquire healthcare-associated infections (HAIs) or nosocomial infections each year, with around 37,000 deaths directly resulting from these infections,... Read more
First-Of-Its-Kind Portable Germicidal Light Technology Disinfects High-Touch Clinical Surfaces in Seconds
Reducing healthcare-acquired infections (HAIs) remains a pressing issue within global healthcare systems. In the United States alone, 1.7 million patients contract HAIs annually, leading to approximately... Read moreHealth IT
view channel
Printable Molecule-Selective Nanoparticles Enable Mass Production of Wearable Biosensors
The future of medicine is likely to focus on the personalization of healthcare—understanding exactly what an individual requires and delivering the appropriate combination of nutrients, metabolites, and... Read more
Business
view channel
Philips and Masimo Partner to Advance Patient Monitoring Measurement Technologies
Royal Philips (Amsterdam, Netherlands) and Masimo (Irvine, California, USA) have renewed their multi-year strategic collaboration, combining Philips’ expertise in patient monitoring with Masimo’s noninvasive... Read more
B. Braun Acquires Digital Microsurgery Company True Digital Surgery
The high-end microsurgery market in neurosurgery, spine, and ENT is undergoing a significant transformation. Traditional analog microscopes are giving way to digital exoscopes, which provide improved visualization,... Read more
CMEF 2025 to Promote Holistic and High-Quality Development of Medical and Health Industry
The 92nd China International Medical Equipment Fair (CMEF 2025) Autumn Exhibition is scheduled to be held from September 26 to 29 at the China Import and Export Fair Complex (Canton Fair Complex) in Guangzhou.... Read more