Modern readmission rates after head trauma

Area of Science:

• Neurology
• Public Health
• Health Services Research

Background:

• Previous reports indicated a 8.9% readmission rate for head trauma patients using 2014 data.
• This study aimed to reevaluate head trauma readmission rates using more specific ICD-10 codes from 2019.
• The objective was to identify factors associated with readmission to inform targeted interventions.

Purpose of the Study:

• To determine the current 30-day readmission rate for head trauma patients.
• To identify demographic and clinical factors associated with head trauma readmissions.
• To propose evidence-based interventions for reducing head trauma readmissions.

Main Methods:

• Analysis of the 2019 National Readmission Database for patients with ICD-10 codes indicating head trauma.
• Definition of readmission as occurring within 30 days of initial hospital admission.
• Statistical comparisons using chi-square, Mann-Whitney rank sum, and multivariable logistic regression.

Main Results:

• The 30-day readmission rate for head trauma was 5.0%.
• Higher readmission rates were observed in men (5.6%) and patients aged 65 and older (5.8%).
• Factors associated with increased readmission included multiple injuries, discharge against medical advice, and government insurance.

Conclusions:

• The 30-day head trauma readmission rate has decreased significantly.
• Interventions such as empirical antiepileptic medications for younger men and antibiotics for elderly patients warrant investigation.
• Reducing readmissions may be improved by addressing factors like discharge against medical advice.