Factors Influencing Readmission Rates of Acute Traumatic Subdural Hematoma in the Elderly

Completed

• Conditions: Traumatic Subdural Hematoma
• Interventions: Other: Follow-up Care

• Registration Number: NCT03878043
• Lead Sponsor: Tarik Wasfie, MD

Brief Summary

Acute traumatic subdural hematomas (TSDH) readmission rate is high (27.8%) with an increase in morbidity and cost for the elderly. This study identifies risk factors affecting readmission rates for these patients and presents strategies to reduce it.

Detailed Description

A retrospective analysis was conducted on patients with traumatic brain injuries (ICD-9-CM codes 800.20 - 801.86, 852.00 - 853.05) admitted between 2014 and 2016 at Genesys Regional Medical Center through the trauma service. From this group, the investigators selected patients admitted with traumatic SDH, and those patients were followed over the following 6 months as regards to readmission status. Patients who were readmitted versus patients who were not readmitted were compared. The risk of readmission within 6 months of discharge for SDH was analyzed adjusting for age, prior anticoagulation use, Injury Severity Score (ISS), Glasgow Coma Scale (GCS), gender, time to readmission and co-morbid conditions which included diabetes mellitus, cardiovascular disease, renal disease, chronic obstructive pulmonary disease, and osteoporotic/orthopedic fractures using Cox Proportional Hazards Regression analysis.

Study Timeline

• Study Start: 2014-01
• Primary Completion: 2016-12
• Status Verified: 2019-03
• Study Completion: 2019-03
• Study First Submitted: 2019-03-14
• Study First Submitted QC: 2019-03-14
• Study First Posted: 2019-03-18
• Last Update Submitted: 2019-03-19
• Last Update Posted: 2019-03-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 167

Inclusion Criteria

• Patients diagnosed with Traumatic Subdural Hematoma during time of study

Exclusion Criteria

• Patients who expired.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients with Readmissions	Follow-up Care	Patients with TSDH who were readmitted within a 6-month time period following their initial visit.

Primary Outcome Measures

Name	Time	Method
Number of participants readmitted to the hospital	6 months	Number of patients diagnosed with TSDH who were readmitted to the hospital within a 6 month time frame

Trial Locations

Locations (1)

Genesys Regional Medical Center; 🇺🇸 Grand Blanc, Michigan, United States