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Hospital use in survivors of transient ischaemic attack compared with survivors of stroke in central China: A nested case–control study

BMJ Open Jul 16, 2019

Li S, et al. - Through a nested case-control study of electronic medical records datasets of 4,823 survivors of stroke taken from 958 hospitals in Henan, China, from July 2012 to December 2015, researchers assessed rehospitalization use in survivors of transient ischemic attack (TIA) vs their own previous hospital use and matched survivors of stroke. A rise in hospital admissions in survivors of TIA in the year following the index hospitalization vs that of the prior year was noted. Stroke was the most prevalent reason (20.6 %) for rehospitalization out of the 2,449 rehospitalizations that occurred during the first year after TIA. No variation in the stroke-specific readmission rates amongst the TIA and stroke cohorts was noted. In contrast with the controls, the TIA cohort had less readmissions within 30 days and 90 days following all-cause discharge. A comparable trend was seen in the 1-year LOS. Survivors of TIA utilized less hospital resources up to 1-year post-discharge vs survivors of stroke. To lower hospital use, more prominent attention to TIAs among those with more comorbidities and rural patients could render an opportunity.

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