Abstract:
BACKGROUND:There is a paucity of evidence-based, posthospital stroke care in the United States proven to reduce preventable hospital readmissions. LOCAL PROBLEM:Follow-up with a provider after hospitalization for stroke or transient ischemic attack had low compliance rates. This may contribute to preventable readmissions. METHODS:A retrospective, descriptive chart review to determine whether an advanced practice registered nurse (APRN)-led transitional care clinic for stroke survivors impacted 30- and 90-day hospital readmissions. Readmissions between clinic patients and nonclinic patients were compared. INTERVENTIONS:The site implemented an APRN-led transitional care stroke clinic to improve patient transitions from hospital to home. RESULTS:The 30-day readmission proportion was significantly higher in nonclinic patients (n = 335) than in clinic patients (n = 68) (13.4% vs 1.5%, respectively; P = .003). The 90-day readmission proportion was numerically higher in nonclinic patients (12.8% vs 4.4%, respectively; P = .058). CONCLUSIONS:The results suggest the APRN-led clinic may impact 30-day hospital readmissions in stroke/transient ischemic attack survivors.
journal_name
J Nurs Care Qualjournal_title
Journal of nursing care qualityauthors
McClain JV 4th,Chance EAdoi
10.1097/NCQ.0000000000000414subject
Has Abstractpub_date
2020-04-01 00:00:00pages
147-152issue
2eissn
1057-3631issn
1550-5065pii
00001786-202004000-00009journal_volume
35pub_type
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