Serious adverse events experienced by survivors of stroke in the first year following discharge from inpatient rehabilitation

Rehabil Nurs. 2013 Sep-Oct;38(5):254-63. doi: 10.1002/rnj.87. Epub 2013 May 17.

Abstract

Purpose: To identify the incidence of adverse events (AE) that occurred in stroke survivors during the first year following discharge from inpatient rehabilitation and to determine the type and patterns of AE.

Methods: Data were collected for 12 months on events resulting in admissions to the emergency department, hospital, long-term care facility, or death. Descriptive statistics were used to depict the patterns of AE and univariate comparisons were made of the differences between survivors who did or did not experience one or more AE.

Results: Of the 159 participants, 50% reported a total of 163 AE. Most AE (82.2%) were unexpected and the majority occurred during the first 6 months; 12 recurrent strokes and 6 transient ischemic attacks occcurred.

Conclusions: Education on prevention and treatment of common AE is important prior to discharge. Anticipatory guidance may help survivors and caregivers modify their lifestyle and prevent common AE.

Keywords: Community dwelling older adults; adverse event; stroke.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Humans
  • Incidence
  • Ischemic Attack, Transient / epidemiology
  • Ischemic Attack, Transient / nursing
  • Ischemic Attack, Transient / rehabilitation
  • Male
  • Middle Aged
  • Patient Discharge*
  • Recurrence
  • Rehabilitation Nursing*
  • Stroke / epidemiology
  • Stroke / nursing*
  • Stroke Rehabilitation*
  • Survivors*