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

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.

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Key information

Conditions

Traumatic Subdural Hematoma Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Craniocerebral Trauma Hematoma Hematoma, Subdural Hemorrhage Intracranial Hemorrhage, Traumatic Intracranial Hemorrhages Nervous System Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Trauma, Nervous System Vascular Diseases Wounds and Injuries

Age range

18 year–105 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Genesys Regional Medical Center

Grand Blanc, Michigan, 48439, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients diagnosed with Traumatic Subdural Hematoma during time of study

Exclusion criteria

Patients who expired.

Treatment and study plan

Follow-up Care

Other

Follow up care provided upon readmission to patients who were diagnosed with a TSDH upon initial visit.

Primary outcomes

Number of participants readmitted to the hospital

Time frame: 6 months

Number of patients diagnosed with TSDH who were readmitted to the hospital within a 6 month time frame

Sponsors and collaborators

Lead sponsor

Tarik Wasfie, MD

Industry

Registry information

Official study title

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

Important dates

Study start: 2014
Primary completion: 2016
Study completion: 2019
First posted: Mar 18, 2019
Registry last updated: Mar 21, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed