Predictors of In-Hospital Mortality and Home Discharge in Patients with Aneurysmal Subarachnoid Hemorrhage: A 4-Year Retrospective Analysis

Background Factors associated with discharge disposition and mortality following aneurysmal subarachnoid hemorrhage (aSAH) are not well-characterized. We used a national all-payer database to identify factors associated with home discharge and in-hospital mortality. Methods The National Inpatient Sa...

Full description

Saved in:
Bibliographic Details
Published in:Neurocritical care 2023-02, Vol.38 (1), p.85-95
Main Authors: Mahajan, Uma V., Khan, Hammad A., Zhou, Xiaofei, Srivatsa, Shaarada, Wright, Christina H., Bates, Adam H., Sajatovic, Martha, Bambakidis, Nicholas C.
Format: Article
Language:English
Subjects:
Aged
Codes
Comorbidity
Critical Care Medicine
Diagnosis related groups
Disease
DRGs
Family income
Hemorrhage
Hospital Mortality
Hospitals
Humans
Intensive
Internal Medicine
Medicaid
Medicare
Medicine
Medicine & Public Health
Mortality
Neurology
Neurosurgery
Original Work
Pacific Islander people
Patient Discharge
Patients
Regression analysis
Rehabilitation
Retrospective Studies
Sociodemographics
Stroke
Subarachnoid Hemorrhage - complications
United States - epidemiology
Variables
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Factors associated with discharge disposition and mortality following aneurysmal subarachnoid hemorrhage (aSAH) are not well-characterized. We used a national all-payer database to identify factors associated with home discharge and in-hospital mortality. Methods The National Inpatient Sample was queried for patients with aSAH within a 4-year range. Weighted multivariable logistic regression models were constructed and adjusted for age, sex, race, household income, insurance status, comorbidity burden, National Inpatient Sample SAH Severity Score, disease severity, treatment modality, in-hospital complications, and hospital characteristics (size, teaching status, and region). Results Our sample included 37,965 patients: 33,605 were discharged alive and 14,350 were discharged home. Black patients had lower odds of in-hospital mortality compared with White patients (adjusted odds ratio [aOR] = 0.67, 95% confidence interval [CI] 0.52–0.86, p  = 0.002). Compared with patients with private insurance, those with Medicare were less likely to have a home discharge (aOR = 0.58, 95% CI 0.46–0.74, p  
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-022-01596-y